In short

J7529 is the HCPCS Level II code for mycophenolate mofetil, for suspension, oral, 5 mg. CMS assigns NDCs for Cellcept Oral Susp and Mycophenolate Mofetil Oral Susp to it. One billing unit is 5 mg. The Medicare Part B payment limit is $0.034 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ7529
Billing unit5 mg
Descriptor
Mycophenolate mofetil, for suspension, oral, 5 mg
Short descriptor
Mycop mofetil susp oral 5 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Oct 1, 2026

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$0.034
Per5 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Units and claim line

Units = dose given ÷ 5 mg. For example, 500 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 J7529

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 6 NDCs to J7529 for Cellcept Oral Susp and Mycophenolate Mofetil Oral Susp. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7529 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Cellcept Oral Susp00004-0261-29Genentech, Inc.1757,000
Mycophenolate Mofetil Oral Susp00527-5160-82Lannett Company, Inc.17,000
Mycophenolate Mofetil Oral Susp23155-0848-51Heritage Pharmaceuticals Inc.17,000
Mycophenolate Mofetil Oral Susp59651-0646-26Aurobindo Pharma Usa, Inc.17,000
Mycophenolate Mofetil Oral Susp67877-0230-22Ascend Laboratories, LLC1757,000
Mycophenolate Mofetil Oral Susp72603-0751-01Northstar Rx Llc17,000

J7529: common questions

Is J7529 a CPT code?
No. J7529 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 J7529?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 6 NDCs under J7529, for Cellcept Oral Susp and Mycophenolate Mofetil Oral Susp. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7529?
$0.034 per 5 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 J7529?
One unit of J7529 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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