HCPCS code J7516 — Inj, cyclosporine 250mg. Status: Active. Effective Apr 1, 2024. Source: CMS HCPCS Level II.

J7516

Active

Inj, cyclosporine 250mg

Injection, cyclosporine, 250 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2024
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J7516 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 0
Outpatient Hospital 4
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00078-0109-01 Sandimmune
00574-0866-10 Cyclosporine Injection

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2024-Q2
    Inj, cyclosporine 250mg
  • Revised 2024-Q2
    Cyclosporin parenteral 250mg
    Inj, cyclosporine 250mg