Table of Contents
What is J code J1950?
*J1950: Injection, leuprolide acetate (for depot suspension), per 3.75 mg.
What is the J code for Lupron 22.5 mg?
2. For the 22.5, 30 or 45 mg doses of leuprolide, bill J9217 three, four or six units respectively.
What is the difference between Lupron and Eligard?
Eligard and Lupron Depot both contain the same active ingredient — leuprolide. They both lower testosterone levels and are used for advanced prostate cancer. Eligard is given as an injection under the skin. Lupron Depot is given as an injection in a muscle.
What is the CPT code for leuprolide injection?
Hi, for the administration code for Lupron, I use CPT code 96372.
How do you bill a Lupron Depot Injection?
The following coding guidelines will apply when billing for leuprolide acetate: J1950 (Injection, leuprolide acetate [for depot suspension], per 3.75 mg) should only be reported with non-oncologic diagnoses.
How do I bill for leuprolide?
HCPCS code J9218 (leuprolide acetate, per 1 mg.)
What is the difference between j9217 and j9218?
j9217 is depot suspension which is slower acting and j9218 is not depot which is faster acting, they aren’t the same thing.
Is ELIGARD generic for Lupron?
Leuprolide acetate, the generic name for Lupron Depot and Eligard, is classified as a gonadotropin releasing hormone (GnRH) agonist and is often referred to as hormone therapy. These drugs work by reducing the amount of the hormone in your body called testosterone (in men) or estrogen (in women).
Is Lupron and Lupron Depot the same?
Lupron, Eligard, Lupron Depot, and Viadur are trade names for Leuprolide. In some cases, health care professionals may use the trade names Lupron, Eligard, Lupron Depot, and Viadur when referring to the generic drug name Leuprolide. Drug type: Lupron is a hormone therapy.
Is Lupron covered under Medicare Part B or Part D?
While some Medicare plans may not cover Lupron, 100% of Medicare Advantage plans and Medicare Part D plans cover Leuprolide.
What is J9218?
J9218 is a valid 2022 HCPCS code for Leuprolide acetate, per 1 mg or just “Leuprolide acetate injeciton” for short, used in Medical care.
What is J9217?
J9217. LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG.
What drug category is eligard?
Eligard belongs to a class of drugs called Antineoplastics, GNRH Agonist.
Is there a generic for eligard?
Eligard generic Eligard is available only as a brand-name medication. It’s not currently available in generic form. A generic drug is an exact copy of the active drug in a brand-name medication. Generics usually cost less than brand-name drugs.
Is Lupron IM or SC?
LUPRON DEPOT-PED is administered as a single intramuscular injection once a month. The starting dose is determined by the child’s weight. The dose of LUPRON DEPOT-PED must be individualized for each child.
Is Lupron Depot covered by insurance?
Yes. 100% of Medicare prescription drug plans cover this drug.
How is Lupron covered by Medicare?
Do Medicare prescription drug plans cover leuprolide? Yes. 100% of Medicare prescription drug plans cover this drug.
Does Medicare require prior authorization for Lupron?
On Feb. 1, 2021, we will begin requiring prior authorization for leuprolide acetate (HCPCS code J1950) for commercial plan members.
What is the difference between J9217 and J9218?
What is the administration code for J9218?