In short

J7515 is the HCPCS Level II code for cyclosporine, oral, 25 mg. CMS assigns NDCs for Cyclosporine, Gengraf, Neoral and Sandimmune to it. One billing unit is 25 mg. The Medicare Part B payment limit is $0.576 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ7515
Billing unit25 mg
Descriptor
Cyclosporine, oral, 25 mg
Short descriptor
Cyclosporine oral 25 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2000

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$0.576
Per25 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 ÷ 25 mg. For example, 2500 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 J7515

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 10 NDCs to J7515 for Cyclosporine, Gengraf, Neoral and Sandimmune. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7515 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Cyclosporine00093-9018-65Teva Pharmaceuticals USA, Inc.3030
Cyclosporine23155-0837-30Heritage Pharmaceuticals Inc.3030
Cyclosporine23155-0838-30Heritage Pharmaceuticals Inc.3060
Cyclosporine60505-0133-00Apotex Corp3030
Cyclosporine60505-4630-03Apotex Corp3030
Cyclosporine60505-4631-03Apotex Corp3060
Cyclosporine68084-0879-25American Health Packaging3030
Gengraf00074-3108-32AbbVie Inc.3030
Neoral00078-0246-15Novartis Pharmaceuticals Corporation3030
Sandimmune00078-0240-15Novartis Pharmaceuticals Corporation3030

J7515: common questions

Is J7515 a CPT code?
No. J7515 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 J7515?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 10 NDCs under J7515, for Cyclosporine, Gengraf, Neoral and Sandimmune. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7515?
$0.576 per 25 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 J7515?
One unit of J7515 is 25 mg, as stated in the code's descriptor. Units to report = dose given ÷ 25 mg. J-code billing units.

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