HCPCS code J7525: Tacrolimus injection, per 5 mg2026 Medicare rate & RVUs in Texas

Reports parenteral tacrolimus used to help prevent organ rejection, typically when a transplant patient needs tacrolimus by a nonoral route.

CMS RVU26DEffective Oct 1, 20268 payment localities

CMS doesn’t publish an office rate for J7525 in Texas.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Texas
  2. What J7525 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What J7525 covers

Parenteral tacrolimus is an immunosuppressive drug used to help prevent organ rejection after transplantation. It is generally given by intravenous infusion when a transplant patient cannot take or use oral tacrolimus. The code identifies the parenteral formulation, distinct from oral immediate-release, extended-release, and granule formulations.

CMS assigns this code physician fee schedule status E, meaning it is excluded from the physician fee schedule. When Medicare covers the drug, payment is handled under another method; the HCPCS pricing method identifies it as a Part B drug generally priced using CMS quarterly Average Sales Price drug files. Special Medicare coverage instructions apply. Each billing unit represents 5 mg of tacrolimus, so units reported are based on the administered dose.

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 J7525 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 of 8 payment localities

J7525 office and facility rates by payment locality
Payment localityOfficeFacility
Austin, TXUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable
Dallas, TXUnavailableUnavailable
Fort Worth, TXUnavailableUnavailable
Galveston, TXUnavailableUnavailable
Houston, TXUnavailableUnavailable
Rest of TexasUnavailableUnavailable

How the J7525 rate is calculated

Each of J7525’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 · J7525

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 J7525

J7525 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 · J7525

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J7525 isn’t priced in this setting.

J7525 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J7525

    Tacrolimus injection, per 5 mg0 wRVU

    Not priced

  • J7507

    Oral tacrolimus, immediate release, per 1 mg0 wRVU

    Not priced

  • J7503

    Tacrolimus ER, envarsus XR, per 0.25 mg0 wRVU

    Not priced

  • J7521

    Tacrolimus granules, oral suspension, per 0.1 mg0 wRVU

    Not priced

How to choose

J7507Oral tacrolimusImmediate release, per 1 mg
J7507 is for oral immediate-release tacrolimus. J7525 is for parenteral tacrolimus.
J7503Tacrolimus EREnvarsus XR, per 0.25 mg
J7503 identifies oral extended-release Envarsus tacrolimus; J7525 identifies parenteral tacrolimus.
J7521Tacrolimus granulesOral suspension, per 0.1 mg
J7521 is for oral tacrolimus granules used to prepare a suspension, not the parenteral drug.

J7525 billing questions

When should this code be used instead of an oral tacrolimus code?

Use this code for parenteral tacrolimus. Oral immediate-release, extended-release, and granule formulations have separate HCPCS codes.

How many milligrams does one unit represent?

One unit represents 5 mg of tacrolimus. Report units based on the administered dose.

Does status E mean Medicare never pays for this drug?

No. Status E means the code is excluded from the physician fee schedule. When Medicare covers the item, payment is under another method.

What payment method is identified for this Part B drug?

When covered, Medicare generally prices it using CMS quarterly Average Sales Price drug pricing files. Special Medicare coverage instructions apply.

Is this code for oral tacrolimus suspension?

No. This code is for parenteral tacrolimus; oral granules for suspension are reported with J7521.

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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