Home Drug Codes J Codes J3315 · TRELSTAR
Updated July 1st, 2026

TRELSTAR J Code: J3315

Injection, triptorelin pamoate, 3.75 mg

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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.

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Medicare Payment Limit ?
$466.365
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$466.365
/ HCPCS billing unit · APC 9122
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, triptorelin pamoate, 3.75 mg
HCPCS Added Date January 1, 2003
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Kit

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.

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TRELSTAR Pricing & Reimbursement

J3315 Private Payer Reimbursement
$484.22 / 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

TRELSTAR Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 14.51%
Avg. Days to File 8.8days
Avg. Days to Pay 22.4days

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 →
OnPoint Oncology

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
Not on the CMS JW / JZ list

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.

Practitioner Office & Hospital Outpatient
6 units / day
= 22.5 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.

TRELSTAR 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.

Advanced prostate cancer

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Frequently Asked Questions

Is there an available Trelstar billing and coding guide?
We have not yet identified a manufacturer source of Trelstar billing and coding information.
Are there any available Trelstar patient assistance programs?
Our team did not identify a source for Trelstar patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Trelstar prescribing information?
TRELSTAR prescribing information can be found at the link below: Visit Here →
Where can I find Trelstar side effect information?
Information regarding TRELSTAR's side effects can be found at MedlinePlus Visit Here →
Does billing TRELSTAR require JZ/JW wastage modifiers?
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. For more information, visit the link below.

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