J1811 HCPCS Level II code: Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units

J1811 is the HCPCS code for “Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

J1811

Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units

Short description: Fiasp for insulin pump use

HCPCS · United States

Medicare details

The indicators CMS publishes with J1811 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Medicare pricing
Drugs
ASC
Approved for ambulatory surgical centers
Type of service
Lump sum purchase of DME, prosthetics, orthotics
BETOS category
Drugs Administered through DME
Added
Jul 1, 2023

Where J1811 sits

  1. 1J codesDrugs administered other than orally
  2. 2Active code J1811Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does HCPCS code J1811 mean?

J1811 is the HCPCS code for “Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover J1811?

CMS lists J1811’s Medicare coverage as “Carrier judgment” and its pricing as “Drugs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.