In short

J7512 is the HCPCS Level II code for prednisone, immediate release or delayed release, oral, 1 mg. CMS assigns NDCs for Prednisone to it. One billing unit is 1 mg. The Medicare Part B payment limit is $0.004 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ7512
Billing unit1 mg
Descriptor
Prednisone, immediate release or delayed release, oral, 1 mg
Short descriptor
Prednisone ir or dr oral 1mg
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.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.004
Per1 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

Units and claim line

Units = dose given ÷ 1 mg. For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J7512

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 217 NDCs to J7512 for Prednisone. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7512 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Prednisone00054-3721-44Hikma Pharmaceuticals USA Inc.30150
Prednisone00054-3722-50Hikma Pharmaceuticals USA Inc.120120
Prednisone00054-3722-63Hikma Pharmaceuticals USA Inc.500500
Prednisone00054-4741-25Hikma Pharmaceuticals USA Inc.100100
Prednisone00054-4742-25Hikma Pharmaceuticals USA Inc.100250
Prednisone00054-8724-25Hikma Pharmaceuticals USA Inc.100500
Prednisone00054-8740-25Hikma Pharmaceuticals USA Inc.100250
Prednisone00054-9817-25Hikma Pharmaceuticals USA Inc.1001,000
Prednisone00054-9817-29Hikma Pharmaceuticals USA Inc.5005,000
Prednisone00054-9828-25Hikma Pharmaceuticals USA Inc.100500
Prednisone00054-9828-31Hikma Pharmaceuticals USA Inc.1,0005,000
Prednisone00378-0640-01Mylan Pharmaceuticals Inc.100500
Prednisone00378-0640-10Mylan Pharmaceuticals Inc.1,0005,000
Prednisone00378-0641-01Mylan Pharmaceuticals Inc.1001,000
Prednisone00378-0641-10Mylan Pharmaceuticals Inc.1,00010,000
Prednisone00378-0642-01Mylan Pharmaceuticals Inc.1002,000
Prednisone00378-0642-05Mylan Pharmaceuticals Inc.50010,000
Prednisone00591-5052-21Actavis Pharma, Inc.21105
Prednisone00591-5052-43Actavis Pharma, Inc.48240
Prednisone00591-5442-21Actavis Pharma, Inc.21210
Prednisone00591-5442-43Actavis Pharma, Inc.48480
Prednisone00904-6923-61Major Pharmaceuticals1001,000
Prednisone50090-0097-00A-S Medication Solutions10100
Prednisone50090-0097-01A-S Medication Solutions15150
Prednisone50090-0097-02A-S Medication Solutions21210
Prednisone50090-0097-04A-S Medication Solutions50500
Prednisone50090-0097-05A-S Medication Solutions30300
Prednisone50090-0097-07A-S Medication Solutions1001,000
Prednisone50090-0097-08A-S Medication Solutions40400
Prednisone50090-0098-00A-S Medication Solutions60600
Prednisone50090-0098-01A-S Medication Solutions20200
Prednisone50090-0102-00A-S Medication Solutions8400
Prednisone50090-0439-00A-S Medication Solutions21105
Prednisone50090-1001-00A-S Medication Solutions21210
Prednisone50090-1002-00A-S Medication Solutions48480
Prednisone50090-1455-00A-S Medication Solutions3075
Prednisone50090-1989-01A-S Medication Solutions10200
Prednisone50090-1989-02A-S Medication Solutions21420
Prednisone50090-1989-03A-S Medication Solutions30600
Prednisone50090-1989-05A-S Medication Solutions1002,000
Prednisone50090-1989-09A-S Medication Solutions18360
Prednisone50090-1990-00A-S Medication Solutions20400
Prednisone50090-1990-01A-S Medication Solutions12240
Prednisone50090-1990-02A-S Medication Solutions6120
Prednisone50090-1990-05A-S Medication Solutions14280
Prednisone50090-1990-07A-S Medication Solutions15300
Prednisone50090-1991-00A-S Medication Solutions21420
Prednisone50090-2136-00A-S Medication Solutions3075
Prednisone50090-2402-00A-S Medication Solutions21105
Prednisone50090-2402-03A-S Medication Solutions100500
Prednisone50090-2402-04A-S Medication Solutions30150
Prednisone50090-2402-07A-S Medication Solutions60300
Prednisone50090-2403-06A-S Medication Solutions90450
Prednisone50090-2532-00A-S Medication Solutions10100
Prednisone50090-2532-01A-S Medication Solutions15150
Prednisone50090-2532-02A-S Medication Solutions21210
Prednisone50090-2532-04A-S Medication Solutions50500
Prednisone50090-2532-05A-S Medication Solutions30300
Prednisone50090-2532-07A-S Medication Solutions1001,000
Prednisone50090-2532-08A-S Medication Solutions40400

Showing 60 of 217. The full list is in the CMS crosswalk file.

J7512: common questions

Is J7512 a CPT code?
No. J7512 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 NDCs are billed under J7512?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 217 NDCs under J7512, for Prednisone. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7512?
$0.004 per 1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J7512?
One unit of J7512 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

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