J7506 was retired on Dec 31, 2015

CMS ended J7506 after Dec 31, 2015. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeJ7506
Billing unit5 mg
Descriptor
Prednisone, oral, per 5 mg
Short descriptor
Prednisone oral
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2016

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

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Med-Code hasn’t mapped J7506 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

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J7506: common questions

Is J7506 a CPT code?
No. J7506 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J7506?
One unit of J7506 is 5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 5 mg. J-code billing units.

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