J7515 HCPCS code: Cyclosporine, oral, 25 mg
J7515 is the HCPCS Level II code for cyclosporine, oral, 25 mg. In 2024 Medicare paid an average of $0.64 per service for J7515 across 6,857,732 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1800 per day on DME suppliers. Medicare volume fell 13% from 2022 to 2024 (7,889,433 to 6,857,732 services). In 2024, 2,912 suppliers billed Medicare for J7515 (purchases), serving 5,708 beneficiaries; California, New York, Texas accounted for 27% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2000-01-01 |
| Last action effective | 2000-01-01 |
Who bills J7515 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 2,912 |
| Referring clinicians | 4,150 |
| Medicare beneficiaries | 5,708 |
| States with claims | 51 |
| Share of services in top 3 states (California, New York, Texas) | 27% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 3,213 | 6,343 |
| 2023 | 3,164 | 6,001 |
| 2024 | 2,912 | 5,708 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7515, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 7,889,433 | 6,343 | $0.76 | $0.57 |
| 2023 | 7,330,538 | 6,001 | $0.72 | $0.54 |
| 2024 | 6,857,732 | 5,708 | $0.85 | $0.64 |
States with the most J7515 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 846,815 | $0.64 |
| New York | 497,794 | $0.64 |
| Texas | 484,733 | $0.64 |
| Ohio | 384,194 | $0.63 |
| Minnesota | 334,488 | $0.63 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1800 | CMS Policy |
| outpatient hospital claims | 90 | Clinical: Data |
What changed for J7515
- 2000-01-01: J7515 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 J7515?
J7515 is the HCPCS Level II code for cyclosporine, oral, 25 mg. Short descriptor: "Cyclosporine oral 25 mg".
How much does Medicare pay for J7515?
In 2024, the average Medicare payment was $0.64 per service (average allowed $0.85).
Does Medicare cover J7515?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J7515 can be billed per day?
1800 on DME suppliers; 90 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
- 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
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Next steps
- Run a reimbursement report for a device billed under J7515
- Watch J7515 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7515
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.