Table of content for "Lyumjev for insulin pump use" (HCPCS J1813)
General information on the “J1813” code
HCPCS Code: J1813
Long Description: Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
Short Description: Lyumjev for insulin pump use
Original information is taken from J1813 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20240101
Type of service
Berenson-Eggers Type of Service (BETOS): D1G – Drugs Administered through DME
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230701
Code Effective Date: 20240101
Action Code: N – No maintenance for this code