In short

J7530 is the HCPCS Level II code for mycophenolate mofetil (myhibbin), oral suspension, 5 mg. CMS assigns NDCs for Myhibbin to it. One billing unit is 5 mg. The Medicare Part B payment limit is $0.115 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ7530
Billing unit5 mg
Descriptor
Mycophenolate mofetil (myhibbin), oral suspension, 5 mg
Short descriptor
Mycophenolat (myhibbin) 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$0.115
Per5 mg
Coinsurance18.875%

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 - Inflation-adjusted coinsurance. 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 J7530

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J7530 for Myhibbin. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7530 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Myhibbin24338-0018-01Azurity Pharmaceuticals, Inc.1757,000

J7530: common questions

Is J7530 a CPT code?
No. J7530 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 J7530?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J7530, for Myhibbin. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7530?
$0.115 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 J7530?
One unit of J7530 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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