J7517
J7517 – Mycophenolate mofetil, oral, 250 mg · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 78 NDCs crosswalked per 250 MG $0.131/unit ASP+6%
📋 J7517 summary
J7517 is a HCPCS Level II J-code used to bill Mycophenolate mofetil, oral, 250 mg, billed per 250 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 J7517: Cellcept*, Cellcept, Mycophenolate Mofetil
Code J7517
Billing unit 250 MG Payment limit $0.131/unit NDC-Crosswalk 78
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 codeJ7517
DescriptorMycophenolate mofetil, oral, 250 mg
Billing unit250 MG
Payment limit / unit$0.131
Est. ASP / unit$0.124 est.
Mapped NDCs78
Data periodQ3 2026
Last updated2026-08-20
💊 About Mycophenolate DRUG GUIDE
Mycophenolate (available as mycophenolate mofetil in several forms, and under the brand names CellCept and Myhibbin) is used to prevent the body from rejecting a transplanted kidney, heart, or liver.
It is always used together with other immunosuppressant medicines, not on its own.It is approved for adults and for children as young as 3 months of age.
CellCept is available in oral and intravenous (IV) forms; Myhibbin is an oral suspension.
The IV form is a short-term alternative for patients who cannot take oral medication.
Clinical overview from our editorial drug guide for Mycophenolate. 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
$0.131
Est. ASP / unit
$0.124 est.
Est. after 2% sequester
$0.128
HCPCS dosage
250 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 descriptionMycophenolate mofetil, oral, 250 mg
CoverageC — Carrier/MAC judgment
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 added2000-01-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J7517 = 250 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 J7517 LEAST EXPENSIVE FIRST
78 NDCs map to J7517. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.131/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 00093-7334-01 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Teva | 100 CAPSULE in 1 BOTTLE (0093-7334-01) | 250 mg/1 | 100 | $13.10 | $0.138 | ● Active | CMS + PDAC |
| 00093-7334-05 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Teva | 500 CAPSULE in 1 BOTTLE (0093-7334-05) | 250 mg/1 | 500 | $65.50 | $0.138 | ● Active | CMS + PDAC |
| 00781-2067-01 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Sandoz | 100 CAPSULE in 1 BOTTLE (0781-2067-01) | 250 mg/1 | 100 | $13.10 | $0.138 | ● Active | CMS + PDAC |
| 00781-2067-05 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Sandoz | 500 CAPSULE in 1 BOTTLE (0781-2067-05) | 250 mg/1 | 500 | $65.50 | $0.138 | ● Active | CMS + PDAC |
| 23155-0830-01 | Mycophenolate mofetil 250 mg/1 CAPSULE | Heritage | 100 CAPSULE in 1 BOTTLE, PLASTIC (23155-83... | 250 mg/1 | 100 | $13.10 | $0.138 | ● Active | CMS + PDAC |
| 23155-0830-05 | Mycophenolate mofetil 250 mg/1 CAPSULE | Heritage | 500 CAPSULE in 1 BOTTLE, PLASTIC (23155-83... | 250 mg/1 | 500 | $65.50 | $0.138 | ● Active | CMS + PDAC |
| 50268-0557-15 | mycophenolate mofetil 250 mg/1 CAPSULE | AvPAK | 50 BLISTER PACK in 1 BOX (50268-557-15) /... | 250 mg/1 | 50 | $6.55 | $0.138 | ● Active | CMS + PDAC |
| 59651-0624-01 | Mycophenolate mofetil 250 mg/1 CAPSULE | Aurobindo | 100 CAPSULE in 1 BOTTLE (59651-624-01) | 250 mg/1 | 100 | $13.10 | $0.138 | ● Active | CMS + PDAC |
| 59651-0624-05 | Mycophenolate mofetil 250 mg/1 CAPSULE | Aurobindo | 500 CAPSULE in 1 BOTTLE (59651-624-05) | 250 mg/1 | 500 | $65.50 | $0.138 | ● Active | CMS + PDAC |
| 60687-0885-01 | mycophenolate mofetil 250 mg/1 CAPSULE | American | 100 BLISTER PACK in 1 CARTON (60687-885-01... | 250 mg/1 | 100 | $13.10 | $0.138 | ● Active | CMS ASP |
| 64380-0726-06 | Mycophenolate mofetil 250 mg/1 CAPSULE | Strides | 100 CAPSULE in 1 BOTTLE, PLASTIC (64380-72... | 250 mg/1 | 100 | $13.10 | $0.138 | ● Active | CMS + PDAC |
| 64380-0726-07 | Mycophenolate mofetil 250 mg/1 CAPSULE | Strides | 500 CAPSULE in 1 BOTTLE, PLASTIC (64380-72... | 250 mg/1 | 500 | $65.50 | $0.138 | ● Active | CMS + PDAC |
| 67877-0266-01 | mycophenolate mofetil 250 mg/1 CAPSULE | Ascend | 100 CAPSULE in 1 BOTTLE (67877-266-01) | 250 mg/1 | 100 | $13.10 | $0.138 | ● Active | CMS + PDAC |
| 67877-0266-05 | mycophenolate mofetil 250 mg/1 CAPSULE | Ascend | 500 CAPSULE in 1 BOTTLE (67877-266-05) | 250 mg/1 | 500 | $65.50 | $0.138 | ● Active | CMS + PDAC |
| 00904-7466-61 | mycophenolate mofetil 250 mg/1 CAPSULE | Major | 100 BLISTER PACK in 1 CARTON (0904-7466-61... | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 31722-0878-05 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Camber | 500 CAPSULE in 1 BOTTLE (31722-878-05) | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 31722-0878-01 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Camber | 1 BOTTLE in 1 CARTON (31722-878-01) / 100... | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 72888-0192-05 | MYCOPHENOLATE MOFETIL 250 mg/1 CAPSULE | Advagen | 500 CAPSULE in 1 BOTTLE (72888-192-05) | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 72888-0192-01 | MYCOPHENOLATE MOFETIL 250 mg/1 CAPSULE | Advagen | 100 CAPSULE in 1 BOTTLE (72888-192-01) | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 16729-0094-01 | mycophenolate mofetil 250 mg/1 CAPSULE | Accord | 100 CAPSULE in 1 BOTTLE (16729-094-01) | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 16729-0094-16 | mycophenolate mofetil 250 mg/1 CAPSULE | Accord | 500 CAPSULE in 1 BOTTLE (16729-094-16) | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 00781-2067-89 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Sandoz | 12 CAPSULE in 1 CARTON (0781-2067-89) | 250 mg/1 | 1 | $0.13 | $0.138 | ● Active | PDAC |
| 00054-0163-25 | Mycophenolate Mofetil 250 mg/1 CAPSULE | Hikma | 100 CAPSULE in 1 BOTTLE (0054-0163-25) | 250 mg/1 | 1 | $0.13 | $0.138 | Obsolete | PDAC |
| 60687-0494-01 | Mycophenolate Mofetil 250 mg/1 CAPSULE | American | 100 BLISTER PACK in 1 BOX, UNIT-DOSE (6068... | 250 mg/1 | 100 | $13.10 | $0.139 | Obsolete | CMS ASP |
| 00781-5175-01 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Sandoz | 100 TABLET, FILM COATED in 1 BOTTLE (0781-... | 500 mg/1 | 200 | $26.20 | $0.270 | ● Active | CMS + PDAC |
| 00781-5175-05 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Sandoz | 500 TABLET, FILM COATED in 1 BOTTLE (0781-... | 500 mg/1 | 1,000 | $131.00 | $0.270 | ● Active | CMS + PDAC |
| 00904-7078-61 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | Major | 100 BLISTER PACK in 1 CARTON (0904-7078-61... | 500 mg/1 | 200 | $26.20 | $0.270 | ● Active | CMS + PDAC |
| 23155-0836-01 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | Heritage | 100 TABLET, FILM COATED in 1 BOTTLE, PLAST... | 500 mg/1 | 200 | $26.20 | $0.270 | ● Active | CMS + PDAC |
| 23155-0836-05 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | Heritage | 500 TABLET, FILM COATED in 1 BOTTLE, PLAST... | 500 mg/1 | 1,000 | $131.00 | $0.270 | ● Active | CMS + PDAC |
| 50268-0558-15 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | AvPAK | 50 BLISTER PACK in 1 BOX (50268-558-15) /... | 500 mg/1 | 100 | $13.10 | $0.270 | ● Active | CMS + PDAC |
| 59651-0638-01 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Aurobindo | 100 TABLET, FILM COATED in 1 BOTTLE (59651... | 500 mg/1 | 200 | $26.20 | $0.270 | ● Active | CMS + PDAC |
| 60687-0438-01 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | American | 100 BLISTER PACK in 1 BOX, UNIT-DOSE (6068... | 500 mg/1 | 200 | $26.20 | $0.270 | ● Active | CMS ASP |
| 64380-0725-06 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | Strides | 100 TABLET, FILM COATED in 1 BOTTLE, PLAST... | 500 mg/1 | 200 | $26.20 | $0.270 | ● Active | CMS + PDAC |
| 64380-0725-07 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | Strides | 500 TABLET, FILM COATED in 1 BOTTLE, PLAST... | 500 mg/1 | 1,000 | $131.00 | $0.270 | ● Active | CMS + PDAC |
| 67877-0225-01 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Ascend | 100 TABLET, FILM COATED in 1 BOTTLE (67877... | 500 mg/1 | 200 | $26.20 | $0.270 | ● Active | CMS + PDAC |
| 67877-0225-05 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Ascend | 500 TABLET, FILM COATED in 1 BOTTLE (67877... | 500 mg/1 | 1,000 | $131.00 | $0.270 | ● Active | CMS + PDAC |
| 31722-0879-01 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Camber | 100 TABLET, FILM COATED in 1 BOTTLE (31722... | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 31722-0879-05 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Camber | 500 TABLET, FILM COATED in 1 BOTTLE (31722... | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 59651-0638-05 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Aurobindo | 500 TABLET, FILM COATED in 1 BOTTLE (59651... | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 72888-0185-05 | MYCOPHENOLATE MOFETIL 500 mg/1 TABLET | Advagen | 500 TABLET in 1 BOTTLE (72888-185-05) | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 72888-0185-01 | MYCOPHENOLATE MOFETIL 500 mg/1 TABLET | Advagen | 100 TABLET in 1 BOTTLE (72888-185-01) | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 16729-0019-16 | mycophenolate mofetil 500 mg/1 TABLET | Accord | 500 TABLET in 1 BOTTLE (16729-019-16) | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 16729-0019-01 | mycophenolate mofetil 500 mg/1 TABLET | Accord | 100 TABLET in 1 BOTTLE (16729-019-01) | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 00054-0166-25 | Mycophenolate Mofetil 500 mg/1 TABLET | Hikma | 100 TABLET in 1 BOTTLE (0054-0166-25) | 500 mg/1 | 2 | $0.26 | $0.270 | ● Active | PDAC |
| 59651-0646-26 | MYCOPHENOLATE MOFETIL 200 mg/mL POWDER, FOR SUSPENSION | Aurobindo | 1 BOTTLE in 1 CARTON (59651-646-26) / 225... | 200 mg/mL | 0.8 | $0.10 | $0.944 | ● Active | PDAC |
| 23155-0848-51 | MYCOPHENOLATE MOFETIL 200 mg/mL POWDER, FOR SUSPENSION | Heritage | 1 BOTTLE, PLASTIC in 1 CARTON (23155-848-5... | 200 mg/mL | 0.8 | $0.10 | $0.944 | ● Active | PDAC |
| 69238-1595-02 | Mycophenolate Mofetil 200 mg/mL POWDER, FOR SUSPENSION | Amneal | 1 BOTTLE, PLASTIC in 1 CARTON (69238-1595-... | 200 mg/mL | 0.8 | $0.10 | $0.944 | ● Active | PDAC |
| 00527-5160-82 | Mycophenolate Mofetil 200 mg/mL POWDER, FOR SUSPENSION | Lannett | 1 BOTTLE, PLASTIC in 1 CARTON (0527-5160-8... | 200 mg/mL | 0.8 | $0.10 | $0.944 | ● Active | PDAC |
| 66689-0307-08 | Mycophenolate Mofetil 200 mg/mL POWDER, FOR SUSPENSION | VistaPharm, | 1 BOTTLE, PLASTIC in 1 CARTON (66689-307-0... | 200 mg/mL | 0.8 | $0.10 | $0.944 | ● Active | PDAC |
| 67877-0230-22 | Mycophenolate mofetil 200 mg/mL POWDER, FOR SUSPENSION | Ascend | 1 BOTTLE, PLASTIC in 1 CARTON (67877-230-2... | 200 mg/mL | 0.8 | $0.10 | $0.944 | ● Active | PDAC |
| 00004-0261-29 | CellCept Mycophenolate Mofetil 200 mg/mL POWDER, FOR SUSPENSION | Genentech, | 1 BOTTLE, PLASTIC in 1 CARTON (0004-0261-2... | 200 mg/mL | 140 | $18.34 | $8.318 | ● Active | CMS + PDAC |
| 00004-0259-01 | CellCept Mycophenolate Mofetil 250 mg/1 CAPSULE | Genentech, | 1 BOTTLE, PLASTIC in 1 CARTON (0004-0259-0... | 250 mg/1 | 100 | $13.10 | $8.650 | ● Active | CMS + PDAC |
| 00004-0259-43 | CellCept Mycophenolate Mofetil 250 mg/1 CAPSULE | Genentech, | 1 BOTTLE, PLASTIC in 1 CARTON (0004-0259-4... | 250 mg/1 | 500 | $65.50 | $8.650 | ● Active | CMS + PDAC |
| 00004-0260-01 | CellCept Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Genentech, | 1 BOTTLE, PLASTIC in 1 CARTON (0004-0260-0... | 500 mg/1 | 200 | $26.20 | $17.304 | ● Active | CMS + PDAC |
| 00004-0260-43 | CellCept Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | Genentech, | 1 BOTTLE, PLASTIC in 1 CARTON (0004-0260-4... | 500 mg/1 | 1,000 | $131.00 | $17.304 | ● Active | CMS + PDAC |
| 00378-2250-01 | Mycophenolate Mofetil | Mylan | — | — | 100 | $13.10 | — | — | CMS + PDAC |
| 00378-2250-05 | Mycophenolate Mofetil | Mylan | — | — | 500 | $65.50 | — | — | CMS ASP |
| 00378-4472-01 | Mycophenolate Mofetil | Mylan | — | — | 200 | $26.20 | — | — | CMS + PDAC |
| 00378-4472-05 | Mycophenolate Mofetil | Mylan | — | — | 1,000 | $131.00 | — | — | CMS + PDAC |
| 50090-4275-00 | Mycophenolate Mofetil 500 mg/1 TABLET, FILM COATED | A-S | 180 TABLET, FILM COATED in 1 BOTTLE (50090... | 500 mg/1 | 360 | $47.16 | — | ● Active | CMS ASP |
| 51079-0379-20 | Mycophenolate Mofetil | Mylan | — | — | 200 | $26.20 | — | — | CMS ASP |
| 51079-0721-20 | Mycophenolate Mofetil | Mylan | — | — | 100 | $13.10 | — | — | CMS + PDAC |
| 73190-0009-01 | Mycophenolate mofetil 250 mg/1 CAPSULE | AvKARE | 100 CAPSULE in 1 BOTTLE (73190-009-01) | 250 mg/1 | 100 | $13.10 | — | ● Active | CMS + PDAC |
| 73190-0009-50 | Mycophenolate mofetil 250 mg/1 CAPSULE | AvKARE | 500 CAPSULE in 1 BOTTLE (73190-009-50) | 250 mg/1 | 500 | $65.50 | — | ● Active | CMS + PDAC |
| 73190-0010-01 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | AvKARE | 100 TABLET, FILM COATED in 1 BOTTLE (73190... | 500 mg/1 | 200 | $26.20 | — | ● Active | CMS + PDAC |
| 73190-0010-50 | Mycophenolate mofetil 500 mg/1 TABLET, FILM COATED | AvKARE | 500 TABLET, FILM COATED in 1 BOTTLE (73190... | 500 mg/1 | 1,000 | $131.00 | — | ● Active | CMS + PDAC |
| 60219-1595-02 | Mycophenolate Mofetil 200 mg/mL POWDER, FOR SUSPENSION | Amneal | 1 BOTTLE, PLASTIC in 1 CARTON (60219-1595-... | 200 mg/mL | 0.8 | $0.10 | — | ● Active | PDAC |
| 42658-0101-05 | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG | Unknown | — | — | 2 | $0.26 | — | — | PDAC |
| 42658-0101-07 | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG | Unknown | — | — | 2 | $0.26 | — | — | PDAC |
| 00480-3571-01 | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG | Unknown | — | — | 2 | $0.26 | — | — | PDAC |
| 00480-3571-05 | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG | Unknown | — | — | 2 | $0.26 | — | — | PDAC |
| 00480-1175-22 | MYCOPHENOLATE MOFETIL (USP,MIXED FRUIT) 200 MG/1 ML | Unknown | — | — | 0.8 | $0.10 | — | — | PDAC |
| 16714-0345-01 | MYCOPHENOLATE MOFETIL (W/ ADAPTERS) 200 MG/1 ML | Unknown | — | — | 0.8 | $0.10 | — | — | PDAC |
| 00904-7074-61 | MYCOPHENOLATE MOFETIL (10X10;USP,HARD GELATIN) 250 MG | Unknown | — | — | 1 | $0.13 | — | — | PDAC |
| 70748-0262-01 | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG | Unknown | — | — | 2 | $0.26 | — | — | PDAC |
| 70748-0262-02 | MYCOPHENOLATE MOFETIL (FILM-COATED) 500 MG | Unknown | — | — | 2 | $0.26 | — | — | PDAC |
| 70748-0186-02 | MYCOPHENOLATE MOFETIL (HARD GELATIN) 250 MG | Unknown | — | — | 1 | $0.13 | — | — | PDAC |
| 70748-0186-01 | MYCOPHENOLATE MOFETIL (HARD GELATIN) 250 MG | Unknown | — | — | 1 | $0.13 | — | — | 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
$1.62M
Claims
67,841
Beneficiaries
30,678
Spend / beneficiary
$52.72
Spend / claim
$23.84
Trend by period
Where J7517 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #339 of 824
#334
IPRATROPIUM-ALBUTERO... J7620
$1.75M
#335
LEUPROLIDE DEPOT* J1954
$1.75M
#336
CINQAIR J2786
$1.66M
#337
ONTRUZANT Q5112
$1.65M
#338
ARFORMOTEROL TARTRAT... J7605
$1.64M
#339
CELLCEPT* J7517
$1.62M
#340
CORTROPHIN J0802
$1.6M
#341
AZACITIDINE* J9025
$1.58M
#342
BETHKIS* J7682
$1.58M
#343
EVEROLIMUS* J7527
$1.54M
#344
TEVIMBRA J9329
$1.52M
Total claims — #36 of 824
#31
SPIKEVAX * 91322
76,644
#32
AVASTIN J9035
74,904
#33
ELIGARD* J9217
74,331
#34
SODIUM CHLORIDE(J705... J7050
73,055
#35
ORENCIA CLICKJECT* J0129
70,350
#36
CELLCEPT* J7517
67,841
#37
DEPO-TESTOSTERONE* J1071
65,852
#38
GADAVIST* A9585
65,285
#39
PREDNISONE INTENSOL* J7512
65,179
#40
METHYLPREDNISOLONE S... J2919
61,362
#41
AFLURIA (3YR UP)* 90656
60,542
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) | $1.62M | 30,678 | 67,841 | $52.72 | $23.84 |
| 2025 (Q1-Q4) | $7.68M | 41,260 | 331,785 | $186.08 | $23.14 |
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
$7.91M
Medicare paid
$5.78M
Submitted services
53,565,006
Denial rate
4.5%
Allowed / service
$0.15
Submitted charges
$193.44M
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.
📊 What bills under J7517
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)
78 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.
❓ J7517 billing FAQ
What is HCPCS code J7517?
J7517 is a HCPCS Level II J-code used to bill Mycophenolate mofetil, oral, 250 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J7517?
One unit of J7517 represents 250 MG. Report the number of units equal to the dose administered divided by 250 MG.
How many units of J7517 should I bill?
Divide the dose administered by the code's unit size (250 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 J7517?
The Medicare Part B payment limit is $0.131 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.128 per unit. Payment limits are revised quarterly.
Which NDCs bill under J7517?
78 NDCs currently map to J7517 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 J7517 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.