HCPCS code J7527 — Oral everolimus.
Status: Active.
Effective Jan 1, 2014.
Source: CMS HCPCS Level II.
J7527
ActiveOral everolimus
Everolimus, oral, 0.25 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2014
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J7527 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 | 960 |
| Outpatient Hospital | 40 |
| Practitioner Services | 40 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00054-0470-21 | Everolimus |
| 00054-0471-21 | Everolimus |
| 00054-0472-21 | Everolimus |
| 00078-0414-20 | Zortress |
| 00078-0415-20 | Zortress |
| 00078-0417-20 | Zortress |
| 00078-0422-20 | Zortress |
| 49884-0158-02 | Everolimus |
| 49884-0159-02 | Everolimus |
| 49884-0160-02 | Everolimus |
| 49884-0283-02 | Everolimus |
| 51991-0379-06 | Everolimus |
| 51991-0379-60 | Everolimus |
| 51991-0380-06 | Everolimus |
| 51991-0380-60 | Everolimus |
| 51991-0381-06 | Everolimus |
| 51991-0381-60 | Everolimus |
| 67877-0718-31 | Everolimus |
| 67877-0719-31 | Everolimus |
| 67877-0720-31 | Everolimus |