SOMATULINE DEPOT J Code: J1930
Injection, lanreotide, 1 mg
Q4 2026 Medicare Payment Limit for J1930, effective October 1, 2026: $41.688 per HCPCS billing unit, up 11.4% from $37.428. From CMS's final file.
Drug & Product Overview
About SOMATULINE DEPOT
Somatuline Depot is a medication aligned to the HCPCS J Code: J1930 for billing, pricing, and reimbursement purposes in the United States. It is a Growth Disorder drug administered via the subcutaneous route and manufactured by multiple companies.
According to CMS Drug Use Information: This medication is a long-acting form of lanreotide. Lanreotide is used to treat a condition called acromegaly that occurs when the body makes too much of a certain natural substance called growth hormone. It is used when surgery or radiation treatment have not been fully successful or cannot be used. Treating acromegaly helps reduce the risk of serious problems such as diabetes and heart disease. Lanreotide works by decreasing the amount of growth hormone to normal levels. This drug is not a cure for acromegaly. It is used for the long-term treatment of this condition. This medication is also used to treat certain cancer or tumors of the stomach, intestines, or pancreas. It may help to slow down the growth of these tumors. Lanreotide is also used to treat carcinoid syndrome. It may help reduce the need to use another medication to treat diarrhea or flushing caused by carcinoid syndrome.
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. Showing 4 of 5 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 15054-1060-04 | Somatuline Depot | Ipsen Biopharmaceuticals, Inc. | 60 | 60 MG / 0.2 ML |
| 15054-1090-04 | Somatuline Depot | Ipsen Biopharmaceuticals, Inc. | 90 | 90 MG / 0.3 ML |
| 15054-1120-04 | Somatuline Depot | Ipsen Biopharmaceuticals, Inc. | 120 | 120 MG / 0.5 ML |
| 69097-0906-67 | Lanreotide Acetate | Cipla USA Inc. | 120 | 120 MG / 0.5 ML |
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SOMATULINE DEPOT Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J1930 claims analytics on FocalPoint →
SOMATULINE DEPOT 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 |
|---|---|
| 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
CMS has identified Somatuline Depot (J1930) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
SOMATULINE DEPOT Medically Unlikely Edits (MUE)
The most billing units of J1930 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
SOMATULINE DEPOT Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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