J7518 HCPCS code: Mycophenolic acid, oral, 180 mg
J7518 is the HCPCS Level II code for mycophenolic acid, oral, 180 mg. In 2024 Medicare paid an average of $0.35 per service for J7518 across 38,508,277 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 720 per day on DME suppliers. Medicare volume fell 5% from 2022 to 2024 (40,377,476 to 38,508,277 services). In 2024, 8,540 suppliers billed Medicare for J7518 (purchases), serving 31,385 beneficiaries; California, Texas, Florida accounted for 24% 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 | 2005-01-01 |
| Last action effective | 2005-01-01 |
Who bills J7518 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 8,540 |
| Referring clinicians | 8,179 |
| Medicare beneficiaries | 31,385 |
| States with claims | 52 |
| Share of services in top 3 states (California, Texas, Florida) | 24% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 8,250 | 31,649 |
| 2023 | 8,356 | 31,571 |
| 2024 | 8,540 | 31,385 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7518, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 40,377,476 | 31,649 | $1.24 | $0.94 |
| 2023 | 39,126,305 | 31,571 | $0.73 | $0.54 |
| 2024 | 38,508,277 | 31,385 | $0.48 | $0.35 |
States with the most J7518 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 3,759,017 | $0.35 |
| Texas | 2,924,089 | $0.35 |
| Florida | 2,503,285 | $0.36 |
| Wisconsin | 2,063,254 | $0.36 |
| Illinois | 2,058,629 | $0.36 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 720 | CMS Policy |
| outpatient hospital claims | 12 | Clinical: Society Comment |
What changed for J7518
- 2005-01-01: J7518 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 J7518?
J7518 is the HCPCS Level II code for mycophenolic acid, oral, 180 mg. Short descriptor: "Mycophenolic acid".
How much does Medicare pay for J7518?
In 2024, the average Medicare payment was $0.35 per service (average allowed $0.48).
Does Medicare cover J7518?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J7518 can be billed per day?
720 on DME suppliers; 12 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 J7518
- Watch J7518 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7518
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.