TRELSTAR J Code: J3315
Injection, triptorelin pamoate, 3.75 mg
Q4 2026 Medicare Payment Limit for J3315, effective October 1, 2026: $467.059 per HCPCS billing unit, up 0.1% from $466.365. From CMS's final file.
Drug & Product Overview
About TRELSTAR
Trelstar is a medication aligned to the HCPCS J Code: J3315 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intramuscular route and manufactured by multiple companies.
According to CMS Drug Use Information: Triptorelin is used to treat advanced prostate cancer. It is not a cure. Most types of prostate cancer need the hormone testosterone to grow and spread. Triptorelin works by reducing the amount of testosterone that the body makes. This effect helps slow or stop the growth of cancer cells and helps relieve symptoms such as painful/difficult urination. This medication is similar to a natural substance made by the body (luteinizing hormone releasing hormone-LHRH). Talk to your doctor about the risks and benefits of treatment.
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 3 of 6 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 74676-5902-01 | Trelstar | Verity Pharmaceuticals Inc. | 1 | Kit |
| 74676-5904-01 | Trelstar | Verity Pharmaceuticals Inc. | 3 | Kit |
| 74676-5906-01 | Trelstar | Verity Pharmaceuticals Inc. | 6 | Kit |
| •••••-••••-•• Log in to view | TRELSTAR | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | TRELSTAR | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | TRELSTAR | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
TRELSTAR Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →Historical Graphing and Billing Calculator
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Login to use the calculator →TRELSTAR Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J3315 claims analytics on FocalPoint →
TRELSTAR 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 |
|---|---|
| 96402 | Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic |
CMS does not include Trelstar (J3315) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3315. Wastage billing guide →
TRELSTAR Medically Unlikely Edits (MUE)
The most billing units of J3315 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 3.75 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 →
TRELSTAR 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
Is there an available Trelstar billing and coding guide?
Are there any available Trelstar patient assistance programs?
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Does billing TRELSTAR require JZ/JW wastage modifiers?
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