J7508 HCPCS code: Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg
J7508 is the HCPCS Level II code for tacrolimus, extended release, (astagraf xl), oral, 0.1 mg. In 2024 Medicare paid an average of $0.43 per service for J7508 across 4,826,455 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 9000 per day on DME suppliers. Medicare volume fell 32% from 2022 to 2024 (7,063,645 to 4,826,455 services). In 2024, 286 suppliers billed Medicare for J7508 (purchases), serving 477 beneficiaries; New York, Maryland, Illinois accounted for 38% 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 | 2014-01-01 |
| Last action effective | 2018-01-01 |
Who bills J7508 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 286 |
| Referring clinicians | 425 |
| Medicare beneficiaries | 477 |
| States with claims | 43 |
| Share of services in top 3 states (New York, Maryland, Illinois) | 38% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 337 | 738 |
| 2023 | 302 | 535 |
| 2024 | 286 | 477 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7508, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 7,063,645 | 738 | $0.51 | $0.39 |
| 2023 | 5,821,325 | 535 | $0.54 | $0.41 |
| 2024 | 4,826,455 | 477 | $0.56 | $0.43 |
States with the most J7508 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 778,530 | $0.43 |
| Maryland | 518,100 | $0.42 |
| Illinois | 509,510 | $0.42 |
| New Jersey | 338,775 | $0.43 |
| California | 301,320 | $0.43 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 9000 | Prescribing Information |
| outpatient hospital claims | 300 | Prescribing Information |
What changed for J7508
- 2014-01-01: J7508 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 J7508?
J7508 is the HCPCS Level II code for tacrolimus, extended release, (astagraf xl), oral, 0.1 mg. Short descriptor: "Tacrol astagraf ex rel oral".
How much does Medicare pay for J7508?
In 2024, the average Medicare payment was $0.43 per service (average allowed $0.56).
Does Medicare cover J7508?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J7508 can be billed per day?
9000 on DME suppliers; 300 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
- J7507 — Tacrolimus, immediate release, oral, 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 J7508
- Watch J7508 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7508
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.