HCPCS drug code · CMS crosswalk
Myfortic DR J-Code / HCPCS Code
In short
Myfortic DR is billed under HCPCS J7518 — Mycophenolic acid, oral, 180 mg. One billing unit is 180 mg. CMS's crosswalk lists 2 Myfortic DR NDCs under this code.
Reference
- J7518
- Mycophenolic acid, oral, 180 mgBilling unit: 180 mg
- Labelers
- Novartis Pharmaceuticals Corporation
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.257
Per180 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Myfortic DR units and claim line
Enter the dose given to get the J7518 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Myfortic DR NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00078-0385-66 | J7518 | Novartis Pharmaceuticals Corporation | 120 | 120 |
| 00078-0386-66 | J7518 | Novartis Pharmaceuticals Corporation | 120 | 240 |
Myfortic DR: common questions
- What is the J-code for Myfortic DR?
- Myfortic DR is billed under HCPCS J7518 — Mycophenolic acid, oral, 180 mg. One billing unit is 180 mg. CMS's crosswalk lists 2 Myfortic DR NDCs under this code.
- How many J7518 billing units are in a package of Myfortic DR?
- CMS lists 120 to 240 billing units per package, depending on the NDC, where one unit is 180 mg. Units to report are based on the dose given, not the package.
- Is J7518 a CPT code?
- No. J7518 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.