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HCPCS code J7509: Oral methylprednisolone, per 4 mg2026 Medicare rate & RVUs

Reports oral methylprednisolone furnished as a Medicare-covered drug, with each HCPCS unit representing 4 mg.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7509

Oral methylprednisolone, per 4 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 J7509 →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 J7509 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 J7509 covers

J7509 identifies oral methylprednisolone, a corticosteroid used to reduce inflammation and suppress immune activity. It may be prescribed for inflammatory conditions or as part of immunosuppression after organ transplantation. Pharmacies and other suppliers that furnish the medication report the drug code; it represents the drug supplied, not an administration service.

The physician fee schedule assigns status X because the drug is not a physician service, so that schedule does not pay it. When covered, Medicare generally pays it as a Part B drug using CMS's quarterly Average Sales Price drug pricing files, and special Medicare coverage instructions apply. Each unit represents 4 mg; report units by dividing the total milligrams furnished by 4.

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 J7509 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

J7509 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

J7509 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
J7509 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 J7509 rate is calculated

Each of J7509’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 · J7509

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 J7509

J7509 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 · J7509

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J7509 isn’t priced in this setting.

J7509 compared with similar codes

Compare codes · National

J7509 vs J7510 vs J7512: Medicare rates

Office or facility?

  • J7509

    Oral methylprednisolone, per 4 mg0 wRVU

    Not priced

  • J7510

    Prednisolone, per 5 mg0 wRVU

    Not priced

  • J7512

    Prednisone, per 1 mg0 wRVU

    Not priced

How to choose

J7510PrednisolonePer 5 mg
Use J7509 for methylprednisolone and J7510 for prednisolone. The drugs have different unit doses, so apply the unit definition for the drug furnished.
J7512PrednisonePer 1 mg
J7512 identifies oral prednisone at 1 mg per unit; J7509 identifies oral methylprednisolone at 4 mg per unit.

Codes related to J7509

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

Codes related to J7509
CodeHow it relatesNational office range
Used instead
J7510Prednisolone, per 5 mgOral prednisolone is a different corticosteroid that may be prescribed for similar clinical needs.No office rate
J7512Prednisone, per 1 mgOral prednisone is another corticosteroid; use its code when prednisone is furnished.No office rate
Often billed with
J7507Oral tacrolimus, immediate release, per 1 mgOral tacrolimus may be reported alongside methylprednisolone in a transplant immunosuppression regimen.No office rate

J7509 billing questions

How many units should be reported?

Each unit represents 4 mg of oral methylprednisolone. Divide the total milligrams furnished by 4 to determine the units.

How is J7509 different from J7510?

J7509 is for oral methylprednisolone, while J7510 is for oral prednisolone. Select the code for the drug furnished.

How is J7509 different from J7512?

J7512 identifies oral prednisone, not methylprednisolone. J7512 represents 1 mg per unit; J7509 represents 4 mg per unit.

Does the physician fee schedule pay J7509?

No. Its status X means it is not a physician service and is not paid under the physician fee schedule.

How does Medicare price J7509 when covered?

It is classified as a Part B drug and generally uses CMS's quarterly Average Sales Price drug pricing files when covered. Special Medicare coverage instructions apply.

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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