HCPCS drug code · CMS crosswalk
Lutrate Depot J-Code / HCPCS Code
In short
Lutrate Depot is billed under HCPCS J1954 — Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg. One billing unit is 7.5 mg. CMS's crosswalk lists 1 Lutrate Depot NDC under this code.
Reference
- J1954
- Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mgBilling unit: 7.5 mg
- Labelers
- Avyxa Pharma, LLC
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Lutrate Depot units and claim line
Enter the dose given to get the J1954 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Lutrate Depot NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 83831-0134-01 | J1954 | Avyxa Pharma, LLC | 1 | 3 |
Lutrate Depot: common questions
- What is the J-code for Lutrate Depot?
- Lutrate Depot is billed under HCPCS J1954 — Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg. One billing unit is 7.5 mg. CMS's crosswalk lists 1 Lutrate Depot NDC under this code.
- How many J1954 billing units are in a package of Lutrate Depot?
- CMS lists 3 billing units per package, depending on the NDC, where one unit is 7.5 mg. Units to report are based on the dose given, not the package.
- Is J1954 a CPT code?
- No. J1954 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.
Other codes for the same drug
- J1950Injection, leuprolide acetate (for depot suspension), per 3.75 mg
- J1951Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg
- J1952Leuprolide injectable, camcevi, 1 mg
- J9003Leuprolide injectable (camcevi etm), 1 mg
- J9217Leuprolide acetate (for depot suspension), 7.5 mg
- J9218Leuprolide acetate, per 1 mg
- J9219Leuprolide acetate implant, 65 mg