HCPCS J7520

Sirolimus, oral, 1 mg

HCPCS Information
HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J7520: The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J7520 identifies the type of service or supply used while any of the 30 NDC codes below could be used to specify the exact drug used.
Short Description: Sirolimus, oral
Long Description: Sirolimus, oral, 1 mg
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Special coverage instructions apply
BETOS Type of Service: Other drugs
Medicare Payment Limit: $0.96
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC	Proprietary Name	Non-Proprietary Name	Dosage Form	Route Name	Company Name	Status
0008-1030	Rapamune				Wyeth Pharmaceuticals Llc, A Subsidiary Of Pfizer Inc.
0008-1040	Rapamune				Wyeth Pharmaceuticals Llc, A Subsidiary Of Pfizer Inc.
0008-1041	Rapamune	Sirolimus	Tablet, Sugar Coated	Oral	Wyeth Pharmaceuticals Llc, A Subsidiary Of Pfizer Inc.	ACTIVE
0008-1042	Rapamune	Sirolimus	Tablet, Sugar Coated	Oral	Wyeth Pharmaceuticals Llc, A Subsidiary Of Pfizer Inc.	ACTIVE
0904-7248	Sirolimus	Sirolimus	Tablet	Oral	Major Pharmaceuticals	ACTIVE
16714-187	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Northstar Rx Llc	ACTIVE
16714-188	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Northstar Rx Llc	ACTIVE
16714-189	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Northstar Rx Llc	ACTIVE
31722-316	Sirolimus	Sirolimus	Solution	Oral	Camber Pharmaceuticals, Inc.	ACTIVE
50268-718	Sirolimus	Sirolimus	Tablet	Oral	Avpak	ACTIVE
55111-653	Sirolimus	Sirolimus	Tablet	Oral	Dr. Reddy's Laboratories Limited	ACTIVE
55111-654	Sirolimus	Sirolimus	Tablet	Oral	Dr. Reddy's Laboratories Limited	ACTIVE
59762-1001	Sirolimus	Sirolimus	Tablet, Sugar Coated	Oral	Mylan Pharmaceuticals Inc.	ACTIVE
59762-1002	Sirolimus	Sirolimus	Tablet, Sugar Coated	Oral	Mylan Pharmaceuticals Inc.	ACTIVE
59762-1003	Sirolimus	Sirolimus	Tablet, Sugar Coated	Oral	Mylan Pharmaceuticals Inc.	ACTIVE
59762-1205	Sirolimus	Sirolimus	Solution	Oral	Mylan Pharmaceuticals Inc.	ACTIVE
60505-6197	Sirolimus	Sirolimus	Solution	Oral	Apotex Corp	ACTIVE
66689-347	Sirolimus	Sirolimus	Solution	Oral	Vistapharm, Llc	ACTIVE
67877-746	Sirolimus	Sirolimus	Tablet	Oral	Ascend Laboratories, Llc	ACTIVE
67877-747	Sirolimus	Sirolimus	Tablet	Oral	Ascend Laboratories, Llc	ACTIVE
67877-748	Sirolimus	Sirolimus	Tablet	Oral	Ascend Laboratories, Llc	ACTIVE
68084-915	Sirolimus	Sirolimus	Tablet	Oral	American Health Packaging	ACTIVE
68382-351	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Zydus Pharmaceuticals Usa Inc.	ACTIVE
68382-352	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Zydus Pharmaceuticals Usa Inc.	ACTIVE
68382-520	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Zydus Pharmaceuticals Usa Inc.	ACTIVE
68462-682	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Glenmark Pharmaceuticals Inc., Usa	ACTIVE
68462-683	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Glenmark Pharmaceuticals Inc., Usa	ACTIVE
68462-684	Sirolimus	Sirolimus	Tablet, Film Coated	Oral	Glenmark Pharmaceuticals Inc., Usa	ACTIVE
69238-1594	Sirolimus	Sirolimus	Solution	Oral	Amneal Pharmaceuticals Ny Llc	ACTIVE
72205-099	Sirolimus	Sirolimus	Solution	Oral	Novadoz Pharmaceuticals Llc	ACTIVE

Table of Contents

HCPCS Information

HCPCS Crossover to NDC Codes