J1930 HCPCS code: Injection, lanreotide, 1 mg
J1930 is the HCPCS Level II code for injection, lanreotide, 1 mg. In 2024 Medicare paid an average of $38.00 per service for J1930 across 3,547,546 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 120 per day on outpatient hospital claims. Medicare volume rose 1% from 2022 to 2024 (3,496,050 to 3,547,546 services). In 2024, about 2,992 clinicians billed Medicare for J1930 for 3,657 beneficiaries; Texas, Virginia, Florida accounted for 27% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2009-01-01 |
| Last action effective | 2009-01-01 |
Who bills J1930 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 2,992 |
| Medicare beneficiaries | 3,657 |
| States with claims | 42 |
| Share of services in top 3 states (Texas, Virginia, Florida) | 27% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1930, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,496,050 | 3,510 | $63.83 | $50.89 |
| 2023 | 3,361,651 | 3,437 | $54.47 | $43.35 |
| 2024 | 3,547,546 | 3,657 | $47.77 | $38.00 |
States with the most J1930 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 495,450 | $38.11 |
| Virginia | 236,670 | $38.34 |
| Florida | 211,472 | $38.39 |
| Illinois | 210,167 | $38.27 |
| California | 200,159 | $38.30 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 120 | Prescribing Information |
| practitioner claims | 120 | Prescribing Information |
What changed for J1930
- 2009-01-01: J1930 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J1930?
J1930 is the HCPCS Level II code for injection, lanreotide, 1 mg. Short descriptor: "Lanreotide injection".
How much does Medicare pay for J1930?
In 2024, the average Medicare payment was $38.00 per service (average allowed $47.77).
Does Medicare cover J1930?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J1930 can be billed per day?
120 on outpatient hospital claims; 120 on practitioner claims (NCCI medically unlikely edits).
Related J19 codes
- J1920 — Injection, labetalol hydrochloride, 5 mg
- J1921 — Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg
- J1931 — Injection, laronidase, 0.1 mg
- J1932 — Injection, lanreotide, (cipla), 1 mg
- J1938 — Injection, furosemide, 1 mg
- J1939 — Injection, bumetanide, 0.5 mg
- J1940 — Injection, furosemide, up to 20 mg
- J1941 — Injection, furosemide (furoscix), 20 mg
- J1942 — Injection, aripiprazole lauroxil, 1 mg
- J1943 — Injection, aripiprazole lauroxil, (aristada initio), 1 mg
- J1944 — Injection, aripiprazole lauroxil, (aristada), 1 mg
- J1945 — Injection, lepirudin, 50 mg
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Next steps
- Run a reimbursement report for a device billed under J1930
- Watch J1930 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1930
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.