J7507 HCPCS code: Tacrolimus, immediate release, oral, 1 mg
J7507 is the HCPCS Level II code for tacrolimus, immediate release, oral, 1 mg. In 2024 Medicare paid an average of $0.18 per service for J7507 across 74,439,714 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 1200 per day on DME suppliers. Medicare volume fell 14% from 2022 to 2024 (86,276,057 to 74,439,714 services). In 2024, 18,343 suppliers billed Medicare for J7507 (purchases), serving 69,815 beneficiaries; California, New York, Florida accounted for 29% 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 | 1995-01-01 |
| Last action effective | 2014-01-01 |
Who bills J7507 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 18,343 |
| Referring clinicians | 16,541 |
| Medicare beneficiaries | 69,815 |
| States with claims | 52 |
| Share of services in top 3 states (California, New York, Florida) | 29% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 19,686 | 76,152 |
| 2023 | 19,274 | 73,126 |
| 2024 | 18,343 | 69,815 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7507, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 86,276,057 | 76,152 | $0.41 | $0.30 |
| 2023 | 80,616,236 | 73,126 | $0.31 | $0.23 |
| 2024 | 74,439,714 | 69,815 | $0.25 | $0.18 |
States with the most J7507 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 9,701,144 | $0.18 |
| New York | 6,356,248 | $0.19 |
| Florida | 5,518,076 | $0.18 |
| Texas | 5,304,044 | $0.18 |
| Pennsylvania | 3,717,484 | $0.18 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1200 | Published Contractor Policy |
| outpatient hospital claims | 40 | Prescribing Information |
What changed for J7507
- 1995-01-01: J7507 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 J7507?
J7507 is the HCPCS Level II code for tacrolimus, immediate release, oral, 1 mg. Short descriptor: "Tacrolimus imme rel oral 1mg".
How much does Medicare pay for J7507?
In 2024, the average Medicare payment was $0.18 per service (average allowed $0.25).
Does Medicare cover J7507?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J7507 can be billed per day?
1200 on DME suppliers; 40 on outpatient hospital claims (NCCI medically unlikely edits).
Related J75 codes
- J7500 — Azathioprine, oral, 50 mg
- 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
- 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
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Next steps
- Run a reimbursement report for a device billed under J7507
- Watch J7507 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7507
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.