HCPCS drug code · CMS crosswalk
Sandimmune J-Code / HCPCS Code
In short
CMS assigns Sandimmune NDCs to 3 HCPCS codes: J7502 (per 100 mg), J7515 (per 25 mg), J7516 (per 250 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J7502
- Cyclosporine, oral, 100 mgBilling unit: 100 mg
- J7515
- Cyclosporine, oral, 25 mgBilling unit: 25 mg
- J7516
- Injection, cyclosporine, 250 mgBilling unit: 250 mg
- Labelers
- Novartis Pharmaceuticals Corporation
Medicare Part B payment limit
CMS ASP fileEffective 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
Medicare Part B payment limit
CMS ASP fileEffective 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
Medicare Part B payment limit
CMS ASP fileEffective 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
Sandimmune units and claim line
Enter the dose given to get the J7502 units and the NDC line for the CMS-1500 and the 837P. This builds the J7502 line; use the code page for J7515, J7516.
Enter the dose given to build the claim line.
Sandimmune 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 |
|---|---|---|---|---|
| 00078-0110-22 | J7502 | Novartis Pharmaceuticals Corporation | 50 | 50 |
| 00078-0241-15 | J7502 | Novartis Pharmaceuticals Corporation | 30 | 30 |
| 00078-0240-15 | J7515 | Novartis Pharmaceuticals Corporation | 30 | 30 |
| 00078-0109-01 | J7516 | Novartis Pharmaceuticals Corporation | 10 × 5 | 10 |
Sandimmune: common questions
- What is the J-code for Sandimmune?
- CMS assigns Sandimmune NDCs to 3 HCPCS codes: J7502 (per 100 mg), J7515 (per 25 mg), J7516 (per 250 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J7502 billing units are in a package of Sandimmune?
- CMS lists 30 to 50 billing units per package, depending on the NDC, where one unit is 100 mg. Units to report are based on the dose given, not the package.
- How many J7515 billing units are in a package of Sandimmune?
- CMS lists 30 billing units per package, depending on the NDC, where one unit is 25 mg. Units to report are based on the dose given, not the package.
- How many J7516 billing units are in a package of Sandimmune?
- CMS lists 10 billing units per package, depending on the NDC, where one unit is 250 mg. Units to report are based on the dose given, not the package.
- Is J7502 a CPT code?
- No. J7502 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.