J1961 – Injection, lenacapavir (only for use as hiv treatment), 1 mg
HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method
HCPCS codeJ1961
- Long description
- Injection, lenacapavir (only for use as hiv treatment), 1 mg
- Short description
- Inj lenacapavir (hiv tx) 1mg
- Pricing indicator
51Drugs- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
O1EOther drugs- ASC
- Approved for ambulatory surgical centers
- Added
- July 1, 2023
- Last change
- June 18, 2025 – No change
Frequently asked questions
What is HCPCS code J1961?
J1961 is a HCPCS Level II code for injection, lenacapavir (only for use as hiv treatment), 1 mg.
Does Medicare cover J1961?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby J codes
- J1952 – Leuprolide injectable, camcevi, 1 mg
- J1953 – Injection, levetiracetam, 10 mg
- J1954 – Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg
- J1955 – Injection, levocarnitine, per 1 gm
- J1956 – Injection, levofloxacin, 250 mg
- J1957 – Injection, levetiracetam, 5 mg
- J1958 – Injection, levetiracetam in sodium chloride, 5 mg
- J1960 – Injection, levorphanol tartrate, up to 2 mg
- J1980 – Injection, hyoscyamine sulfate, up to 0.25 mg
- J1990 – Injection, chlordiazepoxide hcl, up to 100 mg
- J2001 – Injection, lidocaine hcl for intravenous infusion, 10 mg
- J2002 – Injection, lidocaine hcl in 5% dextrose, 1 mg
- J2003 – Injection, lidocaine hydrochloride, 1 mg
- J2004 – Injection, lidocaine hcl with epinephrine, 1 mg
- J2010 – Injection, lincomycin hcl, up to 300 mg
- J2020 – Injection, linezolid, 200 mg
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.