J7510
J7510 – Prednisolone oral, per 5 mg · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 53 NDCs crosswalked per 5 MG $0.777/unit ASP+6%
📋 J7510 summary
J7510 is a HCPCS Level II J-code used to bill Prednisolone oral, per 5 mg, billed per 5 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 J7510: Prednisolone, Prednisolone Sodium Phosphate
Code J7510
Billing unit 5 MG Payment limit $0.777/unit NDC-Crosswalk 53
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 codeJ7510
DescriptorPrednisolone oral, per 5 mg
Billing unit5 MG
Payment limit / unit$0.777
Est. ASP / unit$0.733 est.
Mapped NDCs53
Data periodQ3 2026
Last updated2026-08-20
💊 About Prednisolone DRUG GUIDE
Prednisolone is prescribed for many different conditions where inflammation or an overactive immune system is causing harm.
These range from severe allergic reactions and asthma to certain skin diseases, blood disorders, eye problems, and some cancers.It is also used to support the body when the adrenal glands aren't making enough of their own steroids, and to manage flares of conditions like ulcerative colitis, multiple sclerosis, and nephrotic syndrome (a kidney condition causing protein loss in the urine).
Clinical overview from our editorial drug guide for Prednisolone. 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
$0.777
Est. ASP / unit
$0.733 est.
Est. after 2% sequester
$0.761
HCPCS dosage
5 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 descriptionPrednisolone oral, per 5 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 J7510 = 5 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 J7510 LEAST EXPENSIVE FIRST
53 NDCs map to J7510. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.777/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 69238-2122-09 | Prednisolone Sodium Phosphate 15 mg/5mL SOLUTION | Amneal | 237 mL in 1 BOTTLE (69238-2122-9) | 15 mg/5mL | 143 | $111.11 | $0.105 | ● Active | CMS + PDAC |
| 42799-0815-01 | Prednisolone Sodium Phosphate 15 mg/5mL SOLUTION | Edenbridge | 237 mL in 1 BOTTLE, PLASTIC (42799-815-01) | 15 mg/5mL | 0.6 | $0.47 | $0.105 | ● Active | PDAC |
| 00121-0759-08 | Prednisolone Sodium Phosphate 15 mg/5mL SOLUTION | PAI | 237 mL in 1 BOTTLE (0121-0759-08) | 15 mg/5mL | 0.6 | $0.47 | $0.105 | ● Active | PDAC |
| 13925-0166-04 | Prednisolone Sodium Phosphate 5 mg/5mL SOLUTION | Seton | 120 mL in 1 BOTTLE (13925-166-04) | 5 mg/5mL | 24 | $18.65 | $0.535 | ● Active | CMS ASP |
| 62135-0330-41 | Prednisolone Sodium Phosphate 5 mg/5mL SOLUTION | Chartwell | 120 mL in 1 BOTTLE (62135-330-41) | 5 mg/5mL | 0.2 | $0.16 | $0.537 | ● Active | PDAC |
| 00527-5406-68 | PrednisoLONE 15 mg/5mL SYRUP | Lannett | 240 mL in 1 BOTTLE (0527-5406-68) | 15 mg/5mL | 144 | $111.89 | $0.574 | ● Active | CMS + PDAC |
| 23155-0927-51 | Prednisolone 15 mg/5mL SOLUTION | Heritage | 240 mL in 1 BOTTLE (23155-927-51) | 15 mg/5mL | 144 | $111.89 | $0.574 | ● Active | CMS + PDAC |
| 62135-0250-37 | Prednisolone 15 mg/5mL SOLUTION | Chartwell | 240 mL in 1 BOTTLE (62135-250-37) | 15 mg/5mL | 144 | $111.89 | $0.574 | ● Active | CMS + PDAC |
| 00121-0885-08 | Prednisolone 15 mg/5mL SOLUTION | PAI | 240 mL in 1 BOTTLE (0121-0885-08) | 15 mg/5mL | 0.6 | $0.47 | $0.574 | ● Active | PDAC |
| 00527-5406-70 | PrednisoLONE 15 mg/5mL SYRUP | Lannett | 480 mL in 1 BOTTLE (0527-5406-70) | 15 mg/5mL | 288 | $223.78 | $0.615 | ● Active | CMS + PDAC |
| 23155-0927-52 | Prednisolone 15 mg/5mL SOLUTION | Heritage | 480 mL in 1 BOTTLE (23155-927-52) | 15 mg/5mL | 288 | $223.78 | $0.615 | ● Active | CMS + PDAC |
| 62135-0250-47 | Prednisolone 15 mg/5mL SOLUTION | Chartwell | 480 mL in 1 BOTTLE (62135-250-47) | 15 mg/5mL | 288 | $223.78 | $0.615 | ● Active | CMS + PDAC |
| 00121-0885-16 | Prednisolone 15 mg/5mL SOLUTION | PAI | 480 mL in 1 BOTTLE (0121-0885-16) | 15 mg/5mL | 0.6 | $0.47 | $0.615 | ● Active | PDAC |
| 00121-0773-08 | Prednisolone Sodium Phosphate 10 mg/5mL SOLUTION | PAI | 237 mL in 1 BOTTLE (0121-0773-08) | 10 mg/5mL | 0.4 | $0.31 | $2.430 | ● Active | PDAC |
| 42658-0160-05 | PREDNISOLONE 5 mg/1 TABLET | Hisun | 100 TABLET in 1 BOTTLE (42658-160-05) | 5 mg/1 | 100 | $77.70 | $8.614 | ● Active | CMS ASP |
| 50090-0655-00 | Prednisolone | A-S | — | — | 144 | $111.89 | — | — | CMS ASP |
| 50090-0655-01 | Prednisolone | A-S | — | — | 576 | $447.55 | — | — | CMS ASP |
| 50090-1582-00 | Prednisolone Sodium Phosphate 15 mg/5mL SOLUTION | A-S | 237 mL in 1 BOTTLE (50090-1582-0) | 15 mg/5mL | 144 | $111.89 | — | ● Active | CMS ASP |
| 50090-7115-00 | Prednisolone 15 mg/5mL SOLUTION | A-S | 2 BOTTLE, DISPENSING in 1 BOTTLE (50090-71... | 15 mg/5mL | 144 | $111.89 | — | ● Active | CMS ASP |
| 50090-7115-01 | Prednisolone 15 mg/5mL SOLUTION | A-S | 4 BOTTLE, DISPENSING in 1 BOTTLE (50090-71... | 15 mg/5mL | 144 | $111.89 | — | ● Active | CMS ASP |
| 62135-0250-24 | Prednisolone 15 mg/5mL SOLUTION | Chartwell | 2 TRAY in 1 BOX (62135-250-24) / 10 CUP i... | 15 mg/5mL | 60 | $46.62 | — | ● Active | CMS + PDAC |
| 68788-4046-02 | Prednisolone Sodium Phosphate 15 mg/5mL SOLUTION | Preferred | 237 mL in 1 BOTTLE, PLASTIC (68788-4046-2) | 15 mg/5mL | 237 | $184.15 | — | ● Active | CMS ASP |
| 68788-7708-02 | Prednisolone Sodium Phosphate 15 mg/5mL SOLUTION | Preferred | 237 mL in 1 BOTTLE (68788-7708-2) | 15 mg/5mL | 144 | $111.89 | — | ● Active | CMS ASP |
| 81033-0021-54 | prednisoLONE sodium phosphate 15 mg/5mL SOLUTION | Kesin | 50 CUP, UNIT-DOSE in 1 CARTON (81033-021-5... | 15 mg/5mL | 0.6 | $0.47 | — | ● Active | PDAC |
| 68999-0330-24 | Prednisolone Sodium Phosphate 5 mg/5mL SOLUTION | Chartwell | 2 TRAY in 1 BOX (68999-330-24) / 10 CUP i... | 5 mg/5mL | 0.2 | $0.16 | — | ● Active | PDAC |
| 68999-0250-24 | Prednisolone 15 mg/5mL SOLUTION | Chartwell | 2 TRAY in 1 BOX (68999-250-24) / 10 CUP i... | 15 mg/5mL | 0.6 | $0.47 | — | ● Active | PDAC |
| 62135-0330-24 | Prednisolone Sodium Phosphate 5 mg/5mL SOLUTION | Chartwell | 2 TRAY in 1 BOX (62135-330-24) / 10 CUP i... | 5 mg/5mL | 0.2 | $0.16 | — | ● Active | PDAC |
| 00121-4759-50 | Prednisolone Sodium Phosphate 15 mg/5mL SOLUTION | PAI | 5 TRAY in 1 CASE (0121-4759-50) / 10 CUP,... | 15 mg/5mL | 0.6 | $0.47 | — | ● Active | PDAC |
| 42799-0813-01 | Prednisolone Sodium Phosphate 20 mg/5mL SOLUTION | Edenbridge | 237 mL in 1 BOTTLE, PLASTIC (42799-813-01) | 20 mg/5mL | 0.8 | $0.62 | — | ● Active | PDAC |
| 00121-0777-08 | Prednisolone Sodium Phosphate 20 mg/5mL SOLUTION | PAI | 237 mL in 1 BOTTLE (0121-0777-08) | 20 mg/5mL | 0.8 | $0.62 | — | ● Active | PDAC |
| 60432-0212-08 | PREDNISOLONE SODIUM PHOSPHATE (DYE-FREE,GRAPE) 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 62991-1257-02 | Prednisolone Anhydrouse Micronized 1 g/g POWDER | LETCO | 25 g in 1 JAR (62991-1257-2) | 1 g/g | 200 | $155.40 | — | ● Active | PDAC |
| 51927-1148-00 | PREDNISOLONE MICRONIZED (ANHYDROUS) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 51552-0026-02 | PREDNISOLONE ANHYDROUS (U.S.P.) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 51552-0026-04 | Prednisolone Anhydrous Micro 1 g/g POWDER | Fagron | 25 g in 1 CONTAINER (51552-0026-4) | 1 g/g | 200 | $155.40 | — | Obsolete | PDAC |
| 51552-0026-05 | PREDNISOLONE ANHYDROUS (U.S.P.) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 38779-0150-09 | PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 38779-0150-08 | PREDNISOLONE ANHYDROUS (ANHYDROUS,MICRONIZED) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 54868-1720-00 | PEDIAPRED 5 MG/5 ML | Unknown | — | — | 0.2 | $0.16 | — | — | PDAC |
| 52959-0622-60 | PREDNISOLONE (CHERRY) 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 38779-0150-05 | PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 38779-0150-04 | PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 38779-0150-03 | PREDNISOLONE ANHYDROUS (U.S.P.,MICRONIZED) | Unknown | — | — | 200 | $155.40 | — | — | PDAC |
| 62991-1257-01 | Prednisolone Anhydrouse Micronized 1 g/g POWDER | LETCO | 5 g in 1 JAR (62991-1257-1) | 1 g/g | 200 | $155.40 | — | ● Active | PDAC |
| 00121-0902-04 | PREDNISOLONE SODIUM PHOSPHATE (SF,DYE-FREE,RASPBERRY) 5 MG/5 ML | Unknown | — | — | 0.2 | $0.16 | — | — | PDAC |
| 69101-0410-01 | PREDNISOLONE SODIUM PHOSPHATE (AF,DYE-FREE,GRAPE) 20 MG/5 ML | Unknown | — | — | 0.8 | $0.62 | — | — | PDAC |
| 00603-1567-58 | PREDNISOLONE (CHERRY) 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 33358-0291-08 | PREDNISOLONE 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 63629-1862-01 | PREDNISOLONE 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 54868-0954-00 | ORAPRED (DYE-FREE,GRAPE) 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 50383-0042-24 | PREDNISOLONE 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 50383-0042-48 | PREDNISOLONE 15 MG/5 ML | Unknown | — | — | 0.6 | $0.47 | — | — | PDAC |
| 50383-0040-04 | PREDNISOLONE SODIUM PHOSPHATE (AF,SF,DYE-FREE) 5 MG/5 ML | Unknown | — | — | 0.2 | $0.16 | — | — | 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
$2.4K
Claims
116
Beneficiaries
53
Spend / beneficiary
$45.88
Spend / claim
$20.96
Trend by period
Where J7510 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #739 of 824
#734
MANNITOL(J2151) J2151
$2.8K
#735
CHLOROTHIAZIDE SODIU... J1205
$2.7K
#736
AZMIRO J1072
$2.7K
#737
DIPYRIDAMOLE J1245
$2.6K
#738
PROCHLORPERAZINE EDI... J0780
$2.5K
#739
PREDNISOLONE SODIUM... J7510
$2.4K
#740
BCG (TICE STRAIN)(90... 90586
$2.4K
#741
DEXTROSE 5%-0.9% NAC... J7042
$2.4K
#742
PELLOGRAFT, PER SQ C... Q4320
$2.2K
#743
HYPERRHO* J2790
$2.2K
#744
POLOCAINE-MPF* J0670
$2.1K
Total claims — #615 of 824
#610
AZITHROMYCIN* J0456
121
#611
MATRION 1 SQ CM** Q4201
121
#612
PAMIDRONATE DISODIUM J2430
118
#613
REEVA, PER SQ CM** Q4314
118
#614
PROTAMINE SULFATE J2720
116
#615
PREDNISOLONE SODIUM... J7510
116
#616
IFEX* J9208
115
#617
NOVOSEVEN RT J7189
114
#618
FLUDARABINE PHOSPHAT... J9185
113
#619
MARGENZA J9353
112
#620
SIMULECT J0480
109
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) | $2.4K | 53 | 116 | $45.88 | $20.96 |
| 2025 (Q1-Q4) | $7.9K | 309 | 1,636 | $25.41 | $4.80 |
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
$8K
Medicare paid
$5.9K
Submitted services
59,481
Denial rate
19.9%
Allowed / service
$0.17
Submitted charges
$37.2K
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 J7510 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 J7510
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 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
53 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.
❓ J7510 billing FAQ
What is HCPCS code J7510?
J7510 is a HCPCS Level II J-code used to bill Prednisolone oral, per 5 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J7510?
One unit of J7510 represents 5 MG. Report the number of units equal to the dose administered divided by 5 MG.
How many units of J7510 should I bill?
Divide the dose administered by the code's unit size (5 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 J7510?
The Medicare Part B payment limit is $0.777 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.761 per unit. Payment limits are revised quarterly.
Which NDCs bill under J7510?
53 NDCs currently map to J7510 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 J7510 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.