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    HCPCS Details

    HCPC J7517
    Short Description Mycophenolate mofetil oral
    Long Description Mycophenolate mofetil, oral, 250 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2000-01-01
    Date Added 2000-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00004025901 J7517 Mycophenolate mofetil oral Cellcept GENENTECH, INC. 250 MG 100 1 100 100
    00004025943 J7517 Mycophenolate mofetil oral Cellcept GENENTECH, INC. 250 MG 500 1 500 500
    00004026001 J7517 Mycophenolate mofetil oral Cellcept GENENTECH, INC. 250 MG 100 1 200 200
    00004026043 J7517 Mycophenolate mofetil oral Cellcept GENENTECH, INC. 250 MG 500 1 1000 1000
    00004026129 J7517 Mycophenolate mofetil oral Cellcept GENENTECH, INC. 250 MG 175 1 140 140
    00093733401 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL TEVA PHARMACEUTICALS USA, INC. 250 MG 1 100 100 100
    00093733405 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL TEVA PHARMACEUTICALS USA, INC. 250 MG 1 500 500 500
    00378225001 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL MYLAN PHARMACEUTICALS, INC 250 MG 1 100 100 100
    00378225005 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL MYLAN PHARMACEUTICALS, INC 250 MG 1 500 500 500
    00378447201 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL MYLAN PHARMACEUTICALS, INC 250 MG 1 100 200 200
    00378447205 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL MYLAN PHARMACEUTICALS, INC 250 MG 1 500 1000 1000
    00480117522 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL TEVA PHARMACEUTICALS USA 250 MG 175 1 140 140
    00480357101 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL TEVA PHARMACEUTICALS USA 250 MG 100 1 200 200
    00480357105 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL TEVA PHARMACEUTICALS USA 250 MG 500 1 1000 1000
    00781206701 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL SANDOZ 250 MG 1 100 100 100
    00781206705 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL SANDOZ 250 MG 1 500 500 500
    00781517501 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL SANDOZ 250 MG 1 100 200 200
    00781517505 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL SANDOZ 250 MG 1 500 1000 1000
    50090427500 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL A-S MEDICATION SOLUTIONS 250 MG 180 1 360 360
    51079037920 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL MYLAN INSTITUTIONAL INC. 250 MG 1 100 200 200
    51079072120 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL MYLAN INSTITUTIONAL INC. 250 MG 1 100 100 100
    60687043801 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL AMERICAN HEALTH PACKAGING 250 MG 1 100 2 200
    60687049401 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL AMERICAN HEALTH PACKAGING 250 MG 100 1 100 100
    64380072506 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL STRIDES PHARMA INC. 250 MG 100 1 200 200
    64380072507 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL STRIDES PHARMA INC. 250 MG 1 500 1000 1000
    64380072606 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL STRIDES PHARMA INC. 250 MG 100 1 100 100
    64380072607 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL STRIDES PHARMA INC. 250 MG 1 500 500 500
    67877022501 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL ASCEND LABORATORIES 250 MG 100 1 200 200
    67877022505 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL ASCEND LABORATORIES 250 MG 500 1 1000 1000
    67877023022 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL ASCEND LABORATORIES 250 MG 175 1 140 140
    67877026601 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL ASCEND LABORATORIES 250 MG 100 1 100 100
    67877026605 J7517 Mycophenolate mofetil oral MYCOPHENOLATE MOFETIL ASCEND LABORATORIES 250 MG 500 1 500 500
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 250 MG
    HCPCS/CPT Billing Units 0.004
    Total doses ordered
    Billing Units 0.004