HCPCS Code Details - J7503

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7503
Description

Long description:
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg

Short description:
Tacrol envarsus ex rel oral

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 2016
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J7503

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
0.25 MG 1.733 - - - - - -
January 1, 2024 - March 31, 2024 0.25 MG 1.733 - - - - - -
October 1, 2023 - December 31, 2023 0.25 MG 1.675 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 0.25 MG 1.673 20% - - - - -
April 1, 2023 - June 30, 2023 0.25 MG 1.619 20% - - - - -

See also

  • HCPCS J7502 · Cyclosporine, oral, 100 mg

  • HCPCS J7508 · Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg

  • HCPCS J7504 · Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”