J7500 HCPCS code: Azathioprine, oral, 50 mg
J7500 is the HCPCS Level II code for azathioprine, oral, 50 mg. In 2024 Medicare paid an average of $1.35 per service for J7500 across 1,598,666 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 540 per day on DME suppliers. Medicare volume fell 11% from 2022 to 2024 (1,795,838 to 1,598,666 services). In 2024, 2,178 suppliers billed Medicare for J7500 (purchases), serving 4,039 beneficiaries; California, New York, Texas accounted for 19% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 1988-01-01 |
| Last action effective | 2000-01-01 |
Who bills J7500 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 2,178 |
| Referring clinicians | 2,684 |
| Medicare beneficiaries | 4,039 |
| States with claims | 49 |
| Share of services in top 3 states (California, New York, Texas) | 19% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 2,436 | 4,368 |
| 2023 | 2,311 | 4,203 |
| 2024 | 2,178 | 4,039 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7500, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,795,838 | 4,368 | $2.98 | $2.27 |
| 2023 | 1,697,129 | 4,203 | $3.40 | $2.59 |
| 2024 | 1,598,666 | 4,039 | $1.81 | $1.35 |
States with the most J7500 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 107,894 | $1.40 |
| New York | 105,033 | $1.52 |
| Texas | 91,049 | $1.47 |
| Missouri | 91,024 | $1.13 |
| Illinois | 88,508 | $1.38 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 540 | CMS Policy |
| outpatient hospital claims | 15 | Prescribing Information |
What changed for J7500
- 1988-01-01: J7500 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J7500?
J7500 is the HCPCS Level II code for azathioprine, oral, 50 mg. Short descriptor: "Azathioprine oral 50mg".
How much does Medicare pay for J7500?
In 2024, the average Medicare payment was $1.35 per service (average allowed $1.81).
Does Medicare cover J7500?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J7500 can be billed per day?
540 on DME suppliers; 15 on outpatient hospital claims (NCCI medically unlikely edits).
Related J75 codes
- J7501 — Azathioprine, parenteral, 100 mg
- J7502 — Cyclosporine, oral, 100 mg
- J7503 — Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg
- J7504 — Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
- J7505 — Muromonab-cd3, parenteral, 5 mg
- J7506 — Prednisone, oral, per 5 mg
- J7507 — Tacrolimus, immediate release, oral, 1 mg
- J7508 — Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg
- J7509 — Methylprednisolone oral, per 4 mg
- J7510 — Prednisolone oral, per 5 mg
- J7511 — Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg
- J7512 — Prednisone, immediate release or delayed release, oral, 1 mg
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under J7500
- Watch J7500 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7500
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.