J7528 NDC Crosswalk, Billing Units, ASP Payment & Medicare Reimbursement

📋 J7528 summary

J7528 is a HCPCS Level II J-code used to bill Mycophen mofetil for susp, billed per 100 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 J7528: Cellcept

Code J7528 Billing unit 100 MG Payment limit $0.164/unit NDC-Crosswalk 8 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 codeJ7528

DescriptorMycophen mofetil for susp

Billing unit100 MG

Payment limit / unit$0.164

Est. ASP / unit$0.155 est.

Mapped NDCs8

Data periodQ3 2026

Last updated2026-09-20

💊 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.

Read the full Mycophenolate drug guide →

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

$0.164

Est. ASP / unit

$0.155 est.

Est. after 2% sequester

$0.161

HCPCS dosage

100 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.

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J7528 = 100 mg. Enter a regimen to convert dose → billing units and project a full course.

Dose per administration (mg) Frequency — every days Number of doses NDC / package billed (optional)

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 J7528 LEAST EXPENSIVE FIRST

8 NDCs map to J7528. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.164/unit) × that package's bill units.

NDC (11-digit)	Drug	Labeler	Package	Strength	Bill units	Est. pay / pkg	NADAC / unit	Status	Source
00527-5160-82	Mycophenolate Mofetil 200 mg/mL POWDER, FOR SUSPENSION	Lannett	1 BOTTLE, PLASTIC in 1 CARTON (0527-5160-8...	200 mg/mL	350	$57.40	$0.944	● Active	CMS + 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	350	$57.40	$0.944	● Active	CMS + 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	350	$57.40	$0.944	● Active	CMS + 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	350	$57.40	$0.944	● Active	CMS + PDAC
72603-0751-01	MYCOPHENOLATE MOFETIL 200 mg/mL POWDER, FOR SUSPENSION	NorthStar	1 BOTTLE in 1 CARTON (72603-751-01) / 225...	200 mg/mL	2	$0.33	$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	2	$0.33	$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	2	$0.33	$8.318	● Active	PDAC
60219-1595-02	Mycophenolate Mofetil 200 mg/mL POWDER, FOR SUSPENSION	Amneal	1 BOTTLE, PLASTIC in 1 CARTON (60219-1595-...	200 mg/mL	2	$0.33	—	● Active	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.

⚠️ Don't confuse J7528 with… RELATED CODES

Adjacent HCPCS codes that share an ingredient or formulation with J7528. Billing units and payment limits differ — confirm the exact code, strength and form before billing.

Code	Descriptor	Billing unit	Payment limit / unit	How it differs from J7528
J7518	Mycophenolic acid	180 MG	$0.325	Different billing unit — 180 MG vs 100 MG
J7517	Mycophenolate mofetil oral	250 MG	$0.131	Different billing unit — 250 MG vs 100 MG

Related codes matched on shared ingredient (CMS Medicare Part B Spending feed). Billing units and payment limits from the CMS ASP Pricing File. Always verify the precise HCPCS code for the product and strength administered.

📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)

Total Part B spend

$17.8K

Claims

299

Beneficiaries

193

Spend / beneficiary

$92.45

Spend / claim

$59.68

Where J7528 ranks among Part B drugs · 2026 (Q1) · neighbors ±5

Total spending — #661 of 824

#656 ARTACENT VERICLEN, P... Q4339 $19.8K #657 CLEVIPREX J0759 $19.2K #658 CHORIONIC GONADOTROP... J0725 $18.5K #659 CEFAZOLIN SODIUM-DEX... J0690 $18K #660 TEPADINA(J9342)* J9342 $17.9K #661 MYCOPHENOLATE MOFETI... J7528 $17.8K #662 DACARBAZINE J9130 $17.7K #663 CLONIDINE HCL* J0735 $17.2K #664 ALBUTEROL SULFATE(J7... J7611 $17.1K #665 HYPERTET J1670 $16.9K #666 VANCOMYCIN HCL-0.9%... J3373 $16K

Total claims — #502 of 824

#497 IDELVION J7202 319 #498 MEMBRANE WRAP HYDR P... Q4290 318 #499 ALPROLIX J7201 317 #500 HUMATE-P J7187 315 #501 FLUPHENAZINE DECANOA... J2680 307 #502 MYCOPHENOLATE MOFETI... J7528 299 #503 JELMYTO J9281 296 #504 OCREVUS ZUNOVO J2351 292 #505 FOLOTYN* J9307 291 #506 PROVENGE Q2043 290 #507 ENOXAPARIN SODIUM* J1650 288

Full breakdown by period (1)

Period	Total spend	Beneficiaries	Claims	$/beneficiary	$/claim
2026 (Q1)	$17.8K	193	299	$92.45	$59.68

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 J7528 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 J7528

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

Mycophenolate Mofetil 6

mycophenolate mofetil 2

MYCOPHENOLATE MOFETIL 1

Mycophenolate mofetil 1

NDC products by labeler

Genentech, Inc. 2

Amneal Pharmaceuticals NY LLC 2

Lannett Company, Inc. 1

Heritage Pharmaceuticals Inc. d/b/... 1

Aurobindo Pharma Limited 1

Ascend Laboratories, LLC 1

Amneal Pharmaceuticals LLC 1

NorthStar Rx LLC 1

🔗 Related NDC directory pages

🧪 All Mycophenolate Mofetil NDCsIngredient 🧪 All Mycophenolate Mofetil NDCsIngredient 🧪 All Mycophenolate Mofetil NDCsIngredient 🧪 All Mycophenolate Mofetil NDCsIngredient 🏭 All Genentech, labeler NDCsLabeler 00004 🏭 All Amneal labeler NDCsLabeler 60219 🏭 All Lannett labeler NDCsLabeler 00527 🏭 All Heritage labeler NDCsLabeler 23155 📚 All Antimetabolite Immunosuppressant NDCsDrug class

🗃️ 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

Not available in current dataset

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)

8 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.

❓ J7528 billing FAQ

What is HCPCS code J7528?

J7528 is a HCPCS Level II J-code used to bill Mycophen mofetil for susp under Medicare Part B and most medical (not pharmacy) benefits.

What is the billing unit for J7528?

One unit of J7528 represents 100 MG. Report the number of units equal to the dose administered divided by 100 MG.

How many units of J7528 should I bill?

Divide the dose administered by the code's unit size (100 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 J7528?

The Medicare Part B payment limit is $0.164 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.161 per unit. Payment limits are revised quarterly.

Which NDCs bill under J7528?

8 NDCs currently map to J7528 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 J7528 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.

J7528 – Mycophen mofetil for susp · NDC Crosswalk & Billing Units