HCPCS code J7510: Prednisolone, per 5 mg2026 Medicare rate & RVUs

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

What J7510 covers

J7510 identifies oral prednisolone, a corticosteroid used to suppress inflammation and immune activity. Clinicians may prescribe it for conditions such as autoimmune or inflammatory disease, severe allergic reactions, and some respiratory flares; it may also be part of an immunosuppressive regimen after organ transplantation. The code represents the drug, not the clinical evaluation or a separate procedure.

Medicare assigns J7510 statutory exclusion status under the physician fee schedule, so the physician fee schedule does not pay it. When covered, it is classified as a Part B drug and generally priced using CMS quarterly Average Sales Price drug files; special Medicare coverage instructions apply. Each unit represents 5 mg of oral prednisolone, so 20 mg corresponds to four units. Report units based on the amount of drug furnished and retain documentation supporting the drug, route, and quantity.

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 J7510 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

J7510 rates by state

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

How the J7510 rate is calculated

Each of J7510’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.

Payment rules and modifiers for J7510

J7510 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.

J7510 compared with similar codes

How to choose

J7512PrednisonePer 1 mg

Use J7512 for oral prednisone, not prednisolone. Its billing unit is 1 mg rather than 5 mg.

J7509Oral methylprednisolonePer 4 mg

J7509 identifies oral methylprednisolone. J7510 identifies oral prednisolone, so the active drug determines the code.

Codes related to J7510

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

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