J1813 Lyumjev for insulin pump use
Also known as: lyumjev, ultra-rapid insulin, insulin pump insulin
Lyumjev (insulin lispro-aabc) formulation specifically prepared for use in insulin pump devices.
In Plain Language
rapid insulin for pump; ultra-fast diabetes medication
Clinical Context
Used exclusively for continuous subcutaneous insulin infusion via pump. Lyumjev has ultra-rapid onset (approximately 5.5 minutes), the fastest of currently available insulins.
RVU Information
CPT J1813 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J1813?
CPT J1813 (Lyumjev for insulin pump use) is a J Codes (Drugs) code. Lyumjev (insulin lispro-aabc) formulation specifically prepared for use in insulin pump devices.
How is J1813 administered?
CPT J1813 is administered by a healthcare provider, typically via injection or infusion. Used exclusively for continuous subcutaneous insulin infusion via pump. Lyumjev has ultra-rapid onset (approximately 5.5 minutes), the fastest of currently available insulins. It is used by Endocrinology, Diabetes Management, Internal Medicine.
When is CPT J1813 used?
Used exclusively for continuous subcutaneous insulin infusion via pump. Lyumjev has ultra-rapid onset (approximately 5.5 minutes), the fastest of currently available insulins.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.