J7517 HCPCS code: Mycophenolate mofetil, oral, 250 mg
J7517 is the HCPCS Level II code for mycophenolate mofetil, oral, 250 mg. In 2024 Medicare paid an average of $0.13 per service for J7517 across 51,737,161 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 1440 per day on DME suppliers. Medicare volume fell 11% from 2022 to 2024 (58,213,431 to 51,737,161 services). In 2024, 12,586 suppliers billed Medicare for J7517 (purchases), serving 43,378 beneficiaries; California, New York, Texas accounted for 29% 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 J7517 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 12,586 |
| Referring clinicians | 11,391 |
| Medicare beneficiaries | 43,378 |
| States with claims | 52 |
| Share of services in top 3 states (California, New York, Texas) | 29% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 13,456 | 47,414 |
| 2023 | 13,064 | 45,739 |
| 2024 | 12,586 | 43,378 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7517, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 58,213,431 | 47,414 | $0.25 | $0.19 |
| 2023 | 55,552,802 | 45,739 | $0.21 | $0.15 |
| 2024 | 51,737,161 | 43,378 | $0.18 | $0.13 |
States with the most J7517 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 6,647,038 | $0.13 |
| New York | 4,705,981 | $0.13 |
| Texas | 3,646,260 | $0.13 |
| Florida | 3,233,364 | $0.13 |
| Minnesota | 2,484,437 | $0.13 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1440 | Prescribing Information |
| outpatient hospital claims | 16 | Clinical: Data |
What changed for J7517
- 2000-01-01: J7517 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 J7517?
J7517 is the HCPCS Level II code for mycophenolate mofetil, oral, 250 mg. Short descriptor: "Mycophenolate mofetil oral".
How much does Medicare pay for J7517?
In 2024, the average Medicare payment was $0.13 per service (average allowed $0.18).
Does Medicare cover J7517?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J7517 can be billed per day?
1440 on DME suppliers; 16 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 J7517
- Watch J7517 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7517
Sources: CMS HCPCS Level II release October 2025; 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.