Home › Drug Codes › J Codes › J1814 · LYUMJEV
Updated July 1st, 2026

LYUMJEV J Code: J1814

Insulin (lyumjev), per 5 units

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J1814 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Insulin (lyumjev), per 5 units
HCPCS Added Date July 1, 2023
Manufacturer Eli Lilly
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Form Injection, Solution

About LYUMJEV

Lyumjev is a medication aligned to the HCPCS J Code: J1814 for billing, pricing, and reimbursement purposes in the United States. Classified under Endocrinology, it is administered via the subcutaneous route and manufactured by Eli Lilly.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to J1814. Package detail is available to logged-in subscribers.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
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LYUMJEV
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LYUMJEV Pricing & Reimbursement

J1814 Private Payer Reimbursement
$1.29 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Insulin 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J1811 Novo Nordisk Insulin Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units
J1812 Novo Nordisk Insulin Insulin (fiasp), per 5 units
J1813 Generic Code (Multiple Manufacturers) Insulin Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
J1814 Eli Lilly Insulin Insulin (lyumjev), per 5 units

LYUMJEV CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

CMS does not include Lyumjev (J1814) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1814. Wastage billing guide →

LYUMJEV Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

diabetes mellitus
Drug Class
Insulin Analog [EPC]Insulin [Chemical/Ingredient]

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Frequently Asked Questions

Is there an available Lyumjev billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for LYUMJEV.
Are there any available Lyumjev patient assistance programs?
LYUMJEV patient assistance information can be found through Eli Lilly. Visit Here →
Where can I find Lyumjev prescribing information?
No available source of prescribing information for Lyumjev
Where can I find Lyumjev side effect information?
A link for Lyumjev side effect information is not available.
Does billing Lyumjev require JZ/JW wastage modifiers?
CMS does not include LYUMJEV (J1814) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1814. For more information, visit the link below.

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