LYUMJEV U-100 J Code: J1813

Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J1813 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) for administration through dme (i.e., insulin pump) per 50 units

HCPCS Added Date July 1, 2023

Manufacturer A-S Medication Solutions

Route of Administration Intravenous, Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Multi-Dose

Dosage Form Injection, Solution

About LYUMJEV U-100

Lyumjev U-100 is a medication aligned to the HCPCS J Code: J1813 for billing, pricing, and reimbursement purposes in the United States. It is an Insulin drug administered via the intravenous or subcutaneous routes and manufactured by A-S Medication Solutions.

According to CMS Drug Use Information: Insulin lispro-aabc is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin lispro-aabc is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro-aabc starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro-aabc may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide).

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00002-7728-01	Lyumjev	Eli Lilly and Company	20	Lyumjev Intravenous In jection 1000 UNI… Login for More
50090-7433-00	Lyumjev	A-S Medication Solutions	20	Lyumjev Intravenous In jection 1000 UNI… Login for More

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LYUMJEV U-100 Pricing & Reimbursement

J1813 Private Payer Reimbursement

$15.08 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

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 U-100 CPT Administration Codes

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 U-100 (J1813) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1813. Wastage billing guide →

LYUMJEV U-100 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]

Frequently Asked Questions

Is there an available Lyumjev U-100 billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for LYUMJEV U-100.

Are there any available Lyumjev U-100 patient assistance programs?

LYUMJEV U-100 patient assistance information can be found through ELI LILLY AND COMPANY. Visit Here →

Where can I find Lyumjev U-100 prescribing information?

LYUMJEV U-100 prescribing information can be found at the link below: Visit Here →

Where can I find Lyumjev U-100 side effect information?

Information regarding LYUMJEV U-100's side effects can be found at MedlinePlus Visit Here →

Does billing LYUMJEV U-100 require JZ/JW wastage modifiers?

CMS does not include LYUMJEV U-100 (J1813) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1813. For more information, visit the link below.

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