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HCPCS code J7508: Extended-release tacrolimus, per 0.1 mg2026 Medicare rate & RVUs

Reports oral Astagraf XL extended-release tacrolimus furnished for transplant rejection prevention, with each unit representing 0.1 mg of drug.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7508

Extended-release tacrolimus, per 0.1 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 J7508 →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 J7508 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 J7508 covers

J7508 identifies oral Astagraf XL, an extended-release form of tacrolimus used to help prevent organ rejection in kidney transplant recipients. The patient takes it by mouth, typically as part of a transplant immunosuppression regimen. Transplant clinicians prescribe the medication. This code distinguishes Astagraf XL from immediate-release tacrolimus, other extended-release products, and oral granules.

CMS assigns status E, excluding J7508 from the physician fee schedule. When Medicare covers the drug, payment is under another payment method; the HCPCS pricing method identifies it as a Part B drug generally priced from CMS quarterly Average Sales Price files. Special Medicare coverage instructions apply. Each billing unit represents 0.1 mg, so 1 mg corresponds to 10 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 J7508 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

J7508 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

J7508 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
J7508 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 J7508 rate is calculated

Each of J7508’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 · J7508

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 J7508

J7508 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 · J7508

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J7508 isn’t priced in this setting.

J7508 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J7508

    Extended-release tacrolimus, per 0.1 mg0 wRVU

    Not priced

  • J7503

    Tacrolimus ER, envarsus XR, per 0.25 mg0 wRVU

    Not priced

  • J7507

    Oral tacrolimus, immediate release, per 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
Use J7503 for the Envarsus XR extended-release product. J7508 identifies Astagraf XL; match the code to the product furnished.
J7507Oral tacrolimusImmediate release, per 1 mg
J7507 is immediate-release oral tacrolimus with a 1 mg unit. J7508 is extended-release Astagraf XL with a 0.1 mg unit.
J7521Tacrolimus granulesOral suspension, per 0.1 mg
J7521 identifies tacrolimus granules for oral suspension. J7508 is for Astagraf XL extended-release tacrolimus.

Codes related to J7508

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

Codes related to J7508
CodeHow it relatesNational office range
Used instead
J7503Tacrolimus ER, envarsus XR, per 0.25 mgEnvarsus XR is a different extended-release oral tacrolimus product.No office rate
J7507Oral tacrolimus, immediate release, per 1 mgIdentifies immediate-release oral tacrolimus rather than Astagraf XL.No office rate
J7521Tacrolimus granules, oral suspension, per 0.1 mgIdentifies tacrolimus granules for oral suspension, a different formulation.No office rate
J7525Tacrolimus injection, per 5 mgIdentifies injectable tacrolimus rather than the oral extended-release product.No office rate

J7508 billing questions

How many units represent 1 mg of Astagraf XL?

Each unit represents 0.1 mg. A 1 mg amount is 10 units.

How is J7508 different from J7503?

J7508 identifies Astagraf XL extended-release tacrolimus; J7503 identifies the Envarsus XR extended-release product. Select the code matching the product furnished.

How is J7508 different from J7507?

J7508 is for extended-release oral tacrolimus in 0.1 mg units. J7507 identifies immediate-release oral tacrolimus in 1 mg units.

Does J7508 have physician fee schedule payment?

No. CMS assigns status E, excluding it from the physician fee schedule. When covered, it is paid under another method; its HCPCS pricing method identifies it as a Part B drug generally priced from quarterly ASP files.

Does the code identify the transplant visit as well as the drug?

No. J7508 identifies the Astagraf XL drug and its dose unit, not the transplant evaluation or management service. Special Medicare coverage instructions apply to the drug.

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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