HCPCS code J7510: Prednisolone, per 5 mg2026 Medicare rate & RVUs in Oregon
Reports oral prednisolone in 5 mg units when furnished for immunosuppression or treatment of inflammatory, allergic, and respiratory conditions.
CMS doesn’t publish an office rate for J7510 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
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.
How the rate is built · J7510
RVUs × geographic indexes × conversion factor
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 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.
Place of service · J7510
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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J7510 isn’t priced in this setting.
J7510 compared with similar codes
Compare codes · National
J7510 vs J7512 vs J7509: Medicare rates
How to choose
J7510 billing questions
How does J7510 differ from J7512?
J7510 is for prednisolone in 5 mg units. J7512 identifies oral prednisone in 1 mg units, so select the code for the drug actually furnished.
How many units represent a 20 mg dose?
Four units represent 20 mg because each J7510 unit is 5 mg. Base the reported quantity on the amount furnished.
What does J7510 identify?
It identifies the oral prednisolone quantity, not the clinical evaluation.
Does the physician fee schedule pay J7510?
No. Its statutory exclusion status means the physician fee schedule does not pay it. When covered, it is classified as a Part B drug and generally priced through CMS quarterly ASP drug files.
What documentation supports the reported units?
Document the prednisolone furnished, its oral route, and the quantity. The reported units should correspond to the total amount in 5 mg increments.
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.
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