FeeBase
Log inGet started
Menu

HCPCS code J7512: Prednisone, per 1 mg2026 Medicare rate & RVUs

Report immediate- or delayed-release oral prednisone by milligram when the drug is furnished for a Medicare-covered service.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7512

Prednisone, per 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 J7512 →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 J7512 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 J7512 covers

Prednisone is an oral corticosteroid used to reduce inflammation and suppress immune activity. It is prescribed for inflammatory, allergic, and autoimmune conditions and may be included in immunosuppressive therapy after organ transplantation. J7512 identifies both immediate- and delayed-release oral prednisone, rather than an injectable formulation. The code represents the drug, not a service for prescribing or administering it.

CMS assigns J7512 status E, excluding it from the physician fee schedule. When Medicare covers the drug, payment is under another method; HCPCS classifies it as a Part B drug, generally priced using CMS quarterly ASP drug pricing files. Special Medicare coverage instructions apply. Each unit represents 1 mg of prednisone, so report units based on the total milligrams furnished; 10 mg equals 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 J7512 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

J7512 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

J7512 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
J7512 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 J7512 rate is calculated

Each of J7512’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 · J7512

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 J7512

J7512 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 · J7512

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J7512 isn’t priced in this setting.

J7512 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J7512

    Prednisone, per 1 mg0 wRVU

    Not priced

  • J7510

    Prednisolone, per 5 mg0 wRVU

    Not priced

  • J7509

    Oral methylprednisolone, per 4 mg0 wRVU

    Not priced

  • J7507

    Oral tacrolimus, immediate release, per 1 mg0 wRVU

    Not priced

How to choose

J7510PrednisolonePer 5 mg
J7510 is for oral prednisolone and counts each 5 mg; J7512 is for oral prednisone and counts each 1 mg.
J7509Oral methylprednisolonePer 4 mg
J7509 identifies oral methylprednisolone. Choose J7512 for oral prednisone, not a different corticosteroid.
J7507Oral tacrolimusImmediate release, per 1 mg
J7507 identifies immediate-release oral tacrolimus, not prednisone; the codes represent different drugs even though both use a 1 mg unit.

Codes related to J7512

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

Codes related to J7512
CodeHow it relatesNational office range
Used instead
J7510Prednisolone, per 5 mgOral prednisolone is a related corticosteroid option, with a 5 mg unit.No office rate
J7509Oral methylprednisolone, per 4 mgOral methylprednisolone is another corticosteroid option.No office rate

J7512 billing questions

How many units should be reported?

Report one unit for each 1 mg of prednisone furnished. For example, 10 mg corresponds to 10 units.

How does J7512 differ from J7510?

J7512 identifies oral prednisone, counted per 1 mg. J7510 identifies oral prednisolone and uses a 5 mg unit.

Is J7512 the code for injectable prednisone?

No. J7512 identifies oral prednisone, not an injectable formulation.

Does Medicare pay J7512 under the physician fee schedule?

No. CMS assigns status E, excluding it from the physician fee schedule. When covered, it is paid under another method; HCPCS classifies it as a Part B drug generally priced using quarterly ASP files, with special coverage instructions.

What documentation supports the reported units?

The record should support the oral prednisone furnished and its milligram quantity so the units can be calculated at 1 unit per mg.

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

Did this answer your question about what J7512 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put J7512 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist