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

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, 20262 payment localities

CMS doesn’t publish an office rate for J7507 in Georgia.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Georgia
  2. What J7507 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. 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 in Georgia

J7507 office and facility rates by payment locality
Payment localityOfficeFacility
Atlanta, GAUnavailableUnavailable
Rest of GeorgiaUnavailableUnavailable

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.

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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