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J7511

J7511 – Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 1 NDC crosswalked per 25 MG $1,057.791/unit ASP+6%

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Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

📋 J7511 summary

J7511 is a HCPCS Level II J-code used to bill Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg, billed per 25 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 J7511: Thymoglobulin

Code J7511 Billing unit 25 MG Payment limit $1,057.791/unit NDC-Crosswalk 1 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 codeJ7511
DescriptorLymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg
Billing unit25 MG
Payment limit / unit$1,057.791
Est. ASP / unit$997.916 est.
Mapped NDCs1
Data periodQ3 2026
Last updated2026-08-20

🧾 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
$1,057.791
Est. ASP / unit
$997.916 est.
Est. after 2% sequester
$1,036.635
HCPCS dosage
25 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 descriptionLymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg
CoverageC — Carrier/MAC judgment
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment groupYY
Action codeN — No maintenance this year
Effective date2002-01-01
Date added2002-01-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J7511 = 25 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 J7511 WITH EST. MEDICARE PAY

1 NDC map to J7511. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($1,057.791/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
58468-0080-01 Thymoglobulin Anti-thymocyte Globulin (Rabbit) 5 mg/mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Genzyme 1 VIAL, GLASS in 1 CARTON (58468-0080-1)... 5 mg/mL 1 $1,057.79 — ● Active CMS + 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
$320.5K
Claims
74
Beneficiaries
60
Spend / beneficiary
$5,341.47
Spend / claim
$4,330.92
Trend by period
Where J7511 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #485 of 824
#480 CIMERLI Q5128 $331.8K #481 MOZOBIL* J2562 $328.2K #482 NEOSTIM TL PER SQ CM... Q4265 $325.7K #483 COCOON MEMBRANE, PER... Q4264 $322.7K #484 DURAMORPH* J2274 $322.2K #485 THYMOGLOBULIN J7511 $320.5K #486 SHELTER DM MATRIX PE... Q4346 $318.9K #487 VISUDYNE J3396 $317.8K #488 AMBISOME* J0289 $311.8K #489 GRANIX J1447 $308.7K #490 DEPO-TESTOSTERONE* J1071 $304.4K
Total claims — #656 of 824
#651 VALPROATE SODIUM J3379 79 #652 KEPPRA* J1953 75 #653 VASOPRESSIN-0.9% NAC... J2601 75 #654 CYGNUS DUAL PER SQ C... Q4282 75 #655 DOPAMINE HCL IN 5% D... J1265 74 #656 THYMOGLOBULIN J7511 74 #657 NEBUPENT(J2516)* J2516 73 #658 WILATE J7183 73 #659 BIZENGRI J9382 73 #660 PRIMATRIX** Q4110 73 #661 HEMOFIL M* J7190 72

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $320.5K 60 74 $5,341.47 $4,330.92
2025 (Q1-Q4) $1.36M 228 314 $5,981.69 $4,343.39
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.

🗺️ Where J7511 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 J7511

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
Anti-thymocyte Globulin (Rabbit) 2
NDC products by labeler
Genzyme Corporation 2

🗃️ 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)
1 NDC mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not 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.

❓ J7511 billing FAQ

What is HCPCS code J7511?
J7511 is a HCPCS Level II J-code used to bill Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J7511?
One unit of J7511 represents 25 MG. Report the number of units equal to the dose administered divided by 25 MG.
How many units of J7511 should I bill?
Divide the dose administered by the code's unit size (25 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 J7511?
The Medicare Part B payment limit is $1,057.791 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $1,036.635 per unit. Payment limits are revised quarterly.
Which NDCs bill under J7511?
1 NDC currently map to J7511 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 J7511 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.