FeeBase
Log inGet started
Menu

HCPCS code J7503: Tacrolimus ER, envarsus XR, per 0.25 mg2026 Medicare rate & RVUs

This code reports oral Envarsus XR extended-release tacrolimus by 0.25-mg unit for drug claims when Medicare covers the medication.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7503

Tacrolimus ER, envarsus XR, per 0.25 mg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J7503 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J7503 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J7503 covers

J7503 identifies oral Envarsus XR, an extended-release tacrolimus product used as immunosuppression to help prevent rejection after kidney transplantation. It is distinct from immediate-release tacrolimus, other extended-release tacrolimus products, and tacrolimus granules prepared as an oral suspension. Transplant clinicians prescribe and manage this maintenance therapy; the drug claim identifies the Envarsus XR formulation furnished.

CMS assigns status E, excluding J7503 from the physician fee schedule. When Medicare covers the item, payment is made under another method; CMS classifies it as a Part B drug generally priced through the quarterly ASP drug files. Special Medicare coverage instructions apply. Each unit represents 0.25 mg of tacrolimus, so a 1-mg amount is reported as 4 units.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where J7503 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J7503 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J7503 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J7503 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J7503 rate is calculated

Each of J7503’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · J7503

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for J7503

J7503 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · J7503

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

J7503 isn’t priced in this setting.

J7503 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J7503

    Tacrolimus ER, envarsus XR, per 0.25 mg0 wRVU

    Not priced

  • J7507

    Oral tacrolimus, immediate release, per 1 mg0 wRVU

    Not priced

  • J7508

    Extended-release tacrolimus, per 0.1 mg0 wRVU

    Not priced

  • J7521

    Tacrolimus granules, oral suspension, per 0.1 mg0 wRVU

    Not priced

How to choose

J7507Oral tacrolimusImmediate release, per 1 mg
J7503 identifies extended-release Envarsus XR; J7507 identifies immediate-release oral tacrolimus.
J7508Extended-release tacrolimusPer 0.1 mg
Both represent oral extended-release tacrolimus, but J7503 identifies Envarsus XR and J7508 identifies Astagraf XL.
J7521Tacrolimus granulesOral suspension, per 0.1 mg
J7521 identifies tacrolimus granules for oral suspension; J7503 identifies the Envarsus XR extended-release product.

Codes related to J7503

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to J7503
CodeHow it relatesNational office range
Used instead
J7507Oral tacrolimus, immediate release, per 1 mgImmediate-release oral tacrolimus is a different formulation.No office rate
J7508Extended-release tacrolimus, per 0.1 mgOral extended-release tacrolimus for the Astagraf XL product.No office rate
J7521Tacrolimus granules, oral suspension, per 0.1 mgTacrolimus granules for preparing an oral suspension.No office rate
J7525Tacrolimus injection, per 5 mgTacrolimus injection is a different route of administration.No office rate

J7503 billing questions

How does J7503 differ from J7507?

J7503 identifies oral extended-release Envarsus XR. J7507 identifies immediate-release oral tacrolimus.

How many units represent 1 mg?

Each unit represents 0.25 mg, so 1 mg corresponds to 4 units.

How does J7503 differ from J7508?

Both identify oral extended-release tacrolimus, but J7503 is for Envarsus XR and J7508 is for Astagraf XL.

Does status E mean Medicare never pays for this drug?

No. Status E excludes the code from the physician fee schedule. When Medicare covers the drug, payment is made under another method.

What payment method is identified for a covered claim?

CMS classifies J7503 as a Part B drug generally priced through quarterly Average Sales Price drug files.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

Did this answer your question about what J7503 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put J7503 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist