J1612 HCPCS Level II Code: Injection, glucagon (gvoke), 0.01 mg
Medicare Coverage & Payment
- CMS short descriptor: Inj glucagon (gvoke) 0.01 mg
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Drugs (pricing indicator 51)
- BETOS: O1E — Other drugs
- Last CMS action effective: October 1, 2025
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Change history
- October 1, 2025Added to the code setInjection, glucagon (gvoke), 0.01 mg
Drug products (NDC)
CMS ASP NDC-HCPCS Crosswalk · 2026 Q3
Medicare Part B payment limit (ASP + 6%): $1.80
00517-2901-01 — Gvoke Vialdx — American Regent, Inc. (size 0.2 × qty 1 (0.01 MG per billing unit))
00517-2901-10 — Gvoke Vialdx — American Regent, Inc. (size 0.2 × qty 10 (0.01 MG per billing unit))
From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.
Contextual Map
Every relationship of J1612 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (21)
- J1600 — Injection, gold sodium thiomalate, up to 50 mg[Sibling]
- J1602 — Injection, golimumab, 1 mg, for intravenous use[Sibling]
- J1610 — Injection, glucagon hydrochloride, per 1 mg[Sibling]
- J1611 — Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg[Sibling]
- J1620 — Injection, gonadorelin hydrochloride, per 100 mcg[Sibling]
- J1626 — Injection, granisetron hydrochloride, 100 mcg[Sibling]
- J1627 — Injection, granisetron, extended-release, 0.1 mg[Sibling]
- J1628 — Injection, guselkumab, 1 mg[Sibling]
- and 13 more
Change history
- October 1, 2025 — Added to the code set [Change history]
Nearest Codes in This Family
Official HCPCS Level II classifications closest to J1612 in its code family, with their registry titles.
- J1600 — Injection, gold sodium thiomalate, up to 50 mg
- J1602 — Injection, golimumab, 1 mg, for intravenous use
- J1610 — Injection, glucagon hydrochloride, per 1 mg
- J1611 — Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg
- J1620 — Injection, gonadorelin hydrochloride, per 100 mcg
- J1626 — Injection, granisetron hydrochloride, 100 mcg
- J1627 — Injection, granisetron, extended-release, 0.1 mg
- J1628 — Injection, guselkumab, 1 mg
- J1630 — Injection, haloperidol, up to 5 mg
- J1631 — Injection, haloperidol decanoate, per 50 mg