J1813 Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units

Short descriptor: Lyumjev for insulin pump use

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J1813 is the HCPCS Level II code for Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units (2026). It belongs to Section J — Drugs Administered Other Than Oral Method. Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Drugs.

Classification & CMS Attributes

Medicare Coverage
Carrier judgment (code C)
Part B Pricing
Drugs (indicator 51)
Type of Service
Lump-sum purchase of DME, prosthetics, orthotics
Effective Date
2024-01-01
2026 Maintenance
No change this year

Drug Details

Drug / Substance
Insulin for administration through dme
Dose / Unit
per 50 units

See the full HCPCS Table of Drugs (J-codes).

References

Cite This Page

Reference J1813 with the canonical source and edition:

J1813 — Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/J1813

Canonical URL: https://icd10codingpro.com/hcpcs-codes/J1813

Related Codes in Section J

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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