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HCPCS code J7507: Oral tacrolimus, immediate release, per 1 mg2026 Medicare rate & RVUs

Reports immediate-release oral tacrolimus, an immunosuppressive medicine used to help prevent organ rejection, with each HCPCS unit representing 1 mg.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7507

Oral tacrolimus, immediate release, per 1 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 J7507 →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 J7507 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 J7507 covers

This code identifies oral tacrolimus in its immediate-release formulation, an immunosuppressive medicine used in transplant care to help prevent rejection. Transplant clinicians prescribe and manage this therapy; the dispensing supplier reports the drug for a covered Medicare benefit. It is distinct from extended-release oral tacrolimus, injectable tacrolimus, and tacrolimus granules prepared for oral suspension.

CMS assigns J7507 physician fee schedule status E, so it is excluded from the physician fee schedule. When Medicare covers the item, it pays under another payment method. For a covered Part B drug, the HCPCS pricing method generally uses CMS’s quarterly Average Sales Price (ASP) drug pricing files; special Medicare coverage instructions apply. Each unit represents 1 mg of tacrolimus, so the unit count corresponds to the milligrams represented by the drug billed.

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 J7507 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

J7507 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

J7507 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
J7507 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 J7507 rate is calculated

Each of J7507’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 · J7507

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 J7507

J7507 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 · J7507

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J7507 isn’t priced in this setting.

J7507 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J7507

    Oral tacrolimus, immediate release, per 1 mg0 wRVU

    Not priced

  • J7503

    Tacrolimus ER, envarsus XR, per 0.25 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

J7503Tacrolimus EREnvarsus XR, per 0.25 mg
J7507 is immediate-release oral tacrolimus; J7503 identifies extended-release tacrolimus in the Envarsus formulation.
J7508Extended-release tacrolimusPer 0.1 mg
J7507 identifies immediate-release oral tacrolimus; J7508 is for the extended-release Astagraf formulation.
J7521Tacrolimus granulesOral suspension, per 0.1 mg
J7507 is for immediate-release oral tacrolimus, while J7521 identifies tacrolimus granules prepared as an oral suspension.

Codes related to J7507

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

Codes related to J7507
CodeHow it relatesNational office range
Used instead
J7503Tacrolimus ER, envarsus XR, per 0.25 mgExtended-release oral tacrolimus; use when that formulation is dispensed instead.No office rate
J7508Extended-release tacrolimus, per 0.1 mgA different extended-release oral tacrolimus formulation.No office rate
J7521Tacrolimus granules, oral suspension, per 0.1 mgTacrolimus granules for oral suspension rather than this immediate-release product.No office rate
J7525Tacrolimus injection, per 5 mgTacrolimus by injection rather than by mouth.No office rate

J7507 billing questions

How does this code differ from J7503 and J7508?

This code is for immediate-release oral tacrolimus. J7503 and J7508 identify extended-release oral formulations, so select the code that matches the product dispensed.

How many units represent a prescribed dose?

Each unit represents 1 mg. Report the number of units corresponding to the milligrams of tacrolimus represented by the drug billed.

Does this code identify oral suspension?

No. J7507 identifies immediate-release oral tacrolimus; J7521 identifies tacrolimus granules for oral suspension.

How does Medicare treat payment for this code?

CMS excludes it from the physician fee schedule under status E. When Medicare covers the item, it pays under another payment method; for a covered Part B drug, the pricing method generally uses quarterly ASP drug pricing files. Special Medicare coverage instructions apply.

What product and quantity does the code represent?

The product is immediate-release oral tacrolimus, and each unit represents 1 mg. The reported quantity corresponds to the milligrams represented by the drug billed.

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

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