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HCPCS Level II · Drugs administered other than oral method

J1961Injection, lenacapavir (only for use as hiv treatment), 1 mg

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About J1961

J1961 is an HCPCS Level II code in the J series (drugs administered other than oral method), describing injection, lenacapavir (only for use as hiv treatment), 1 mg.

It was added to HCPCS effective 07/01/2023, and its current record took effect 06/18/2025.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Inj lenacapavir (hiv tx) 1mg
Date added
07/01/2023
Action effective
06/18/2025
BETOS
O1E

Related J19xx codes

Common questions about J1961

Is HCPCS J1961 still valid?

Yes. J1961 is active in the CMS October 2026 HCPCS file.

Does Medicare cover J1961?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.