Home › Drug Codes › J Codes › J9226 · SUPPRELIN LA
Updated July 1st, 2026

SUPPRELIN LA J Code: J9226

Histrelin implant (supprelin la), 50 mg

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Q4 2026 Medicare Payment Limit for J9226, effective October 1, 2026: $37,837.548 per HCPCS billing unit, up 0.9% from $37,491.974. From CMS's final file.

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Medicare Payment Limit ?
$37,491.974
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$37,491.974
/ HCPCS billing unit · APC 1142
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Histrelin implant (supprelin la), 50 mg
HCPCS Added Date January 1, 2008
Manufacturer Endo USA
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Form Implant

About SUPPRELIN LA

Supprelin LA is a medication aligned to the HCPCS J Code: J9226 for billing, pricing, and reimbursement purposes in the United States. It is a Growth Disorder drug administered via the subcutaneous route and manufactured by Endo USA.

Manufacturers, reach out to us to add more information.

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
67979-0002-01 Supprelin La Endo USA, Inc. 1 50 MG
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SUPPRELIN LA Pricing & Reimbursement

J9226 Private Payer Reimbursement
$45,291.06 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

SUPPRELIN LA 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
11981 Insertion of single non-biodegradable implant
JW / JZ modifiers apply

CMS has identified Supprelin LA (J9226) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

SUPPRELIN LA Medically Unlikely Edits (MUE)

The most billing units of J9226 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 mg.

Practitioner Office & Hospital Outpatient
1 unit / day
= 50 mg per day

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

SUPPRELIN LA 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.

Central Precocious Puberty (CPP)
Drug Class
Gonadotropin Releasing Hormone Receptor Agonist [EPC]Gonadotropin Releasing Hormone Receptor Agonists [MoA]

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Frequently Asked Questions

Is there an available Supprelin La billing and coding guide?
Billing and coding information for SUPPRELIN LA can be found through Endo Pharma. Visit Here →
Are there any available Supprelin La patient assistance programs?
SUPPRELIN LA patient assistance information can be found through Endo Pharma. Visit Here →
Where can I find Supprelin La prescribing information?
SUPPRELIN LA prescribing information can be found at the link below: Visit Here →
Where can I find Supprelin La side effect information?
Information regarding SUPPRELIN LA's side effects can be found at MedlinePlus Visit Here →
Does billing SUPPRELIN LA require JZ/JW wastage modifiers?
CMS has identified SUPPRELIN LA(J9226) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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