J7509
J7509 – Methylprednisolone oral, per 4 mg · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 57 NDCs crosswalked per 4 MG $0.160/unit ASP+6%
📋 J7509 summary
J7509 is a HCPCS Level II J-code used to bill Methylprednisolone oral, per 4 mg, billed per 4 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with J7509: Medrol*, Medrol, Methylprednisolone
Code J7509
Billing unit 4 MG Payment limit $0.160/unit NDC-Crosswalk 57
Quarter Q3 2026
RxCUI Atlas Trace the drug concept →
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeJ7509
DescriptorMethylprednisolone oral, per 4 mg
Billing unit4 MG
Payment limit / unit$0.160
Est. ASP / unit$0.151 est.
Mapped NDCs57
Data periodQ3 2026
Last updated2026-09-20
💊 About Methylprednisolone DRUG GUIDE
Methylprednisolone is used for a range of inflammatory, allergic and hormone-related conditions.
What a product treats depends on its form.Injectable suspension (such as Depo-Medrol and methylprednisolone acetate): given into a muscle when oral therapy is not feasible.
It is used for severe allergic conditions that have not responded to standard treatment, certain skin diseases, and adrenal gland insufficiency.Medrol and other methylprednisolone tablets: used for hormone disorders, rheumatic disorders such as rheumatoid arthritis and gout flares, and collagen diseases such as lupus.
Clinical overview from our editorial drug guide for Methylprednisolone. For billing reference, see the sections above.
🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026
📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$0.160
Est. ASP / unit
$0.151 est.
Est. after 2% sequester
$0.157
HCPCS dosage
4 MG
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.
Full HCPCS code details (official CMS record)
Long descriptionMethylprednisolone oral, per 4 mg
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment group—
Action codeN — No maintenance this year
Effective date2000-01-01
Date added1996-01-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J7509 = 4 mg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under J7509 LEAST EXPENSIVE FIRST
57 NDCs map to J7509. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.160/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 00904-6914-61 | methylprednisolone 4 mg/1 TABLET | Major | 100 BLISTER PACK in 1 CARTON (0904-6914-61... | 4 mg/1 | 100 | $16.00 | $0.121 | ● Active | CMS + PDAC |
| 59762-4440-03 | Methylprednisolone 4 mg/1 TABLET | Mylan | 100 TABLET in 1 BOTTLE (59762-4440-3) | 4 mg/1 | 100 | $16.00 | $0.121 | ● Active | CMS ASP |
| 62135-0760-01 | Methylprednisolone 4 mg/1 TABLET | Chartwell | 100 TABLET in 1 BOTTLE (62135-760-01) | 4 mg/1 | 100 | $16.00 | $0.121 | ● Active | CMS + PDAC |
| 62135-0760-21 | Methylprednisolone 4 mg/1 TABLET | Chartwell | 21 TABLET in 1 BOTTLE (62135-760-21) | 4 mg/1 | 21 | $3.36 | $0.121 | ● Active | CMS + PDAC |
| 68084-0149-01 | Methylprednisolone 4 mg/1 TABLET | American | 100 BLISTER PACK in 1 BOX, UNIT-DOSE (6808... | 4 mg/1 | 100 | $16.00 | $0.121 | ● Active | CMS ASP |
| 68382-0916-01 | methylprednisolone 4 mg/1 TABLET | Zydus | 100 TABLET in 1 BOTTLE (68382-916-01) | 4 mg/1 | 100 | $16.00 | $0.121 | ● Active | CMS + PDAC |
| 00603-4593-21 | MethylPREDNISolone 4 mg/1 TABLET | Par | 100 TABLET in 1 BOTTLE, PLASTIC (0603-4593... | 4 mg/1 | 1 | $0.16 | $0.121 | ● Active | PDAC |
| 42806-0400-01 | METHYLPREDNISOLONE 4 mg/1 TABLET | Epic | 100 TABLET in 1 BOTTLE (42806-400-01) | 4 mg/1 | 1 | $0.16 | $0.124 | ● Active | PDAC |
| 59762-4440-02 | Methylprednisolone 4 mg/1 TABLET | Mylan | 1 DOSE PACK in 1 CARTON (59762-4440-2) /... | 4 mg/1 | 21 | $3.36 | $0.136 | ● Active | CMS ASP |
| 68001-0624-01 | methylprednisolone 4 mg/1 TABLET | BluePoint | 1 BLISTER PACK in 1 CARTON (68001-624-01)... | 4 mg/1 | 21 | $3.36 | $0.136 | ● Active | CMS + PDAC |
| 68382-0916-34 | methylprednisolone 4 mg/1 TABLET | Zydus | 1 BLISTER PACK in 1 CARTON (68382-916-34)... | 4 mg/1 | 21 | $3.36 | $0.136 | ● Active | CMS + PDAC |
| 42806-0400-21 | METHYLPREDNISOLONE 4 mg/1 TABLET | Epic | 1 BLISTER PACK in 1 CARTON (42806-400-21)... | 4 mg/1 | 1 | $0.16 | $0.136 | ● Active | PDAC |
| 00603-4593-15 | MethylPREDNISolone 4 mg/1 TABLET | Par | 1 DOSE PACK in 1 CARTON (0603-4593-15) /... | 4 mg/1 | 1 | $0.16 | $0.136 | ● Active | PDAC |
| 00009-0056-02 | Medrol methylprednisolone 4 mg/1 TABLET | Pharmacia | 100 TABLET in 1 BOTTLE (0009-0056-02) | 4 mg/1 | 100 | $16.00 | $0.245 | ● Active | CMS + PDAC |
| 00009-0056-04 | Medrol methylprednisolone 4 mg/1 TABLET | Pharmacia | 1 DOSE PACK in 1 CARTON (0009-0056-04) /... | 4 mg/1 | 21 | $3.36 | $0.291 | ● Active | CMS + PDAC |
| 59762-0049-01 | Methylprednisolone 8 mg/1 TABLET | Mylan | 25 TABLET in 1 BOTTLE (59762-0049-1) | 8 mg/1 | 50 | $8.00 | $0.933 | ● Active | CMS ASP |
| 62135-0761-26 | Methylprednisolone 8 mg/1 TABLET | Chartwell | 25 TABLET in 1 BOTTLE (62135-761-26) | 8 mg/1 | 50 | $8.00 | $0.933 | ● Active | CMS + PDAC |
| 68382-0917-11 | methylprednisolone 8 mg/1 TABLET | Zydus | 25 TABLET in 1 BOTTLE (68382-917-11) | 8 mg/1 | 50 | $8.00 | $0.933 | ● Active | CMS + PDAC |
| 59762-0050-01 | Methylprednisolone 16 mg/1 TABLET | Mylan | 50 TABLET in 1 BOTTLE (59762-0050-1) | 16 mg/1 | 200 | $32.00 | $1.446 | ● Active | CMS ASP |
| 68382-0918-18 | methylprednisolone 16 mg/1 TABLET | Zydus | 50 TABLET in 1 BOTTLE (68382-918-18) | 16 mg/1 | 200 | $32.00 | $1.446 | ● Active | CMS + PDAC |
| 62135-0762-50 | Methylprednisolone 16 mg/1 TABLET | Chartwell | 50 TABLET in 1 BOTTLE (62135-762-50) | 16 mg/1 | 4 | $0.64 | $1.446 | ● Active | PDAC |
| 00009-0020-01 | Medrol methylprednisolone 2 mg/1 TABLET | Pharmacia | 100 TABLET in 1 BOTTLE (0009-0020-01) | 2 mg/1 | 50 | $8.00 | $1.570 | ● Active | CMS ASP |
| 59762-0051-01 | Methylprednisolone 32 mg/1 TABLET | Mylan | 25 TABLET in 1 BOTTLE (59762-0051-1) | 32 mg/1 | 200 | $32.00 | $2.755 | ● Active | CMS ASP |
| 68382-0919-11 | methylprednisolone 32 mg/1 TABLET | Zydus | 25 TABLET in 1 BOTTLE (68382-919-11) | 32 mg/1 | 200 | $32.00 | $2.755 | ● Active | CMS + PDAC |
| 62135-0763-26 | Methylprednisolone 32 mg/1 TABLET | Chartwell | 25 TABLET in 1 BOTTLE (62135-763-26) | 32 mg/1 | 8 | $1.28 | $2.755 | ● Active | PDAC |
| 00009-0022-01 | Medrol methylprednisolone 8 mg/1 TABLET | Pharmacia | 25 TABLET in 1 BOTTLE (0009-0022-01) | 8 mg/1 | 50 | $8.00 | — | ● Active | CMS + PDAC |
| 00009-0073-01 | Medrol methylprednisolone 16 mg/1 TABLET | Pharmacia | 50 TABLET in 1 BOTTLE (0009-0073-01) | 16 mg/1 | 200 | $32.00 | — | ● Active | CMS + PDAC |
| 50090-0092-00 | Medrol Dosepak | A-S | — | — | 21 | $3.36 | — | — | CMS ASP |
| 50090-3094-00 | Methylprednisolone 4 mg/1 TABLET | A-S | 21 TABLET in 1 BLISTER PACK (50090-3094-0) | 4 mg/1 | 21 | $3.36 | — | ● Active | CMS ASP |
| 50090-3811-00 | methylprednisolone 4 mg/1 TABLET | A-S | 1 BLISTER PACK in 1 CARTON (50090-3811-0)... | 4 mg/1 | 21 | $3.36 | — | ● Active | CMS ASP |
| 68788-7833-02 | METHYLPREDNISOLONE 4 mg/1 TABLET | Preferred | 1 BLISTER PACK in 1 CARTON (68788-7833-2)... | 4 mg/1 | 21 | $3.36 | — | ● Active | CMS ASP |
| 59746-0002-04 | METHYLPREDNISOLONE (USP) 8 MG | Unknown | — | — | 2 | $0.32 | — | — | PDAC |
| 59746-0015-04 | METHYLPREDNISOLONE (USP) 32 MG | Unknown | — | — | 8 | $1.28 | — | — | PDAC |
| 59746-0003-14 | METHYLPREDNISOLONE (USP) 16 MG | Unknown | — | — | 4 | $0.64 | — | — | PDAC |
| 55289-0649-30 | MethylPREDNISolone 4 mg/1 TABLET | PD-Rx | 30 TABLET in 1 BOTTLE, PLASTIC (55289-649-... | 4 mg/1 | 1 | $0.16 | — | ● Active | PDAC |
| 51552-0603-02 | METHYLPREDNISOLONE (U.S.P.,MICRONIZED) | Unknown | — | — | 250 | $40.00 | — | — | PDAC |
| 59746-0001-06 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 59746-0001-03 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 52959-0100-00 | METHYLPREDNISOLONE (DOSE PACK) 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 38779-0142-06 | METHYLPREDNISOLONE (U.S.P.,MICRONIZED) | Unknown | — | — | 250 | $40.00 | — | — | PDAC |
| 38779-0142-04 | METHYLPREDNISOLONE (U.S.P.,MICRONIZED) | Unknown | — | — | 250 | $40.00 | — | — | PDAC |
| 55289-0649-98 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 68001-0557-00 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 68001-0560-55 | METHYLPREDNISOLONE 32 MG | Unknown | — | — | 8 | $1.28 | — | — | PDAC |
| 68001-0559-69 | METHYLPREDNISOLONE 16 MG | Unknown | — | — | 4 | $0.64 | — | — | PDAC |
| 68001-0558-55 | METHYLPREDNISOLONE 8 MG | Unknown | — | — | 2 | $0.32 | — | — | PDAC |
| 72647-0331-01 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 72647-0331-04 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 50742-0189-01 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 50742-0189-21 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 33358-0241-21 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 00781-5022-01 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 00781-5022-07 | METHYLPREDNISOLONE (UNIT OF USE) 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 49999-0153-21 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 66267-0961-21 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 63874-0413-21 | METHYLPREDNISOLONE 4 MG | Unknown | — | — | 1 | $0.16 | — | — | PDAC |
| 00009-0176-01 | MEDROL 32 MG | Unknown | — | — | 8 | $1.28 | — | — | PDAC |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)
Period
Total Part B spend
$471.06
Claims
100
Beneficiaries
50
Spend / beneficiary
$9.42
Spend / claim
$4.71
Trend by period
Where J7509 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #787 of 824
#782
PROTAMINE SULFATE J2720
$543.58
#783
METOPROLOL TARTRATE J0616
$528.23
#784
RETACRIT(Q5105) Q5105
$522.38
#785
KEPPRA* J1953
$517.51
#786
DAPTOMYCIN(J0873) J0873
$474.41
#787
MEDROL* J7509
$471.06
#788
AFLURIA (90657)* 90657
$440.18
#789
AZITHROMYCIN* J0456
$419.17
#790
VALPROATE SODIUM J3379
$414.28
#791
HYDROXYZINE HCL J3410
$391.37
#792
FOLIC ACID J1808
$341.31
Total claims — #631 of 824
#626
ORBACTIV J2407
108
#627
EDETATE CALCIUM DISO... J0600
107
#628
GIVLAARI J0223
105
#629
DERMABIND FM, PER SQ... Q4313
102
#630
GAMASTAN J1460
100
#631
MEDROL* J7509
100
#632
PHENYLEPHRINE HCL-0.... J2371
99
#633
DILTIAZEM HCL-0.9% N... J1163
97
#634
FOSCARNET SODIUM J1455
97
#635
DIPYRIDAMOLE J1245
96
#636
PFIZER COVID (6M-4... 91318
95
Top Medicare Part B drugs by the selected metric. Click any drug to open its J-code page. Source: CMS Medicare Quarterly Part B Spending by Drug.
Full breakdown by period (2)
| Period | Total spend | Beneficiaries | Claims | $/beneficiary | $/claim |
|---|---|---|---|---|---|
| 2026 (Q1) | $471.06 | 50 | 100 | $9.42 | $4.71 |
| 2025 (Q1-Q4) | $3.7K | 78 | 549 | $47.99 | $6.82 |
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$3.8K
Medicare paid
$2.8K
Submitted services
18,902
Denial rate
3.6%
Allowed / service
$0.21
Submitted charges
$31K
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
🗺️ Where J7509 is utilized
⏳
The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.
📊 What bills under J7509
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-09-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
57 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ J7509 billing FAQ
What is HCPCS code J7509?
J7509 is a HCPCS Level II J-code used to bill Methylprednisolone oral, per 4 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J7509?
One unit of J7509 represents 4 MG. Report the number of units equal to the dose administered divided by 4 MG.
How many units of J7509 should I bill?
Divide the dose administered by the code's unit size (4 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J7509?
The Medicare Part B payment limit is $0.160 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.157 per unit. Payment limits are revised quarterly.
Which NDCs bill under J7509?
57 NDCs currently map to J7509 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J7509 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.