Updated July 1st, 2026
Prednisone J Code: J7512
Prednisone, immediate release or delayed release, oral, 1 mg
Q4 2026 Medicare Payment Limit for J7512, effective October 1, 2026: $0.004 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.
Q4 2026 Final ?
$0.004 No change
Medicare Payment Limit ?
$0.004
/ HCPCS billing unit · Q3 2026 APC Payment Limit ?
Not published
CMS publishes none for Q3 2026 Drug & Product Overview
HCPCS Descriptor Prednisone, immediate release or delayed release, oral, 1 mg
HCPCS Added Date January 1, 2016
Manufacturer Multiple Manufacturers
Route of Administration Oral
Generic Status Multi-Source; Generic
Dosage Form Not Available | Solution | Solution, Concentrate | Tablet
About Prednisone
Prednisone is a medication aligned to the HCPCS J Code: J7512 for billing, pricing, and reimbursement purposes in the United States. This Immunosuppressant medication is administered via the oral route and manufactured by multiple companies.
According to CMS Drug Use Information: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. Showing 5 of 278 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00054-3721-44 | PredniSONE Intensol | Hikma Pharmaceuticals USA Inc. | 150 | 150 MG / 30 ML |
| 00378-0640-01 | Prednisone | Mylan Pharmaceuticals Inc. | 500 | 5 MG |
| 00591-5052-21 | Prednisone | Actavis Pharma, Inc. | 105 | 5 MG |
| 00904-6923-61 | predniSONE | Major Pharmaceuticals | 1000 | 10 MG |
| 50090-0097-00 | Prednisone | A-S Medication Solutions | 100 | 10 MG |
| •••••-••••-•• Log in to view | Prednisone | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Prednisone | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Prednisone | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Login to view 273 more NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login → Prednisone Pricing & Reimbursement
J7512 Private Payer Reimbursement
$0.01 / HCPCS unit as of Jan 2026
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →
Historical Graphing and Billing Calculator
Estimated reimbursement ASP × 150 units × 1 dose
— / administration
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Login to use the calculator →Prednisone Medically Unlikely Edits (MUE)
The most billing units of J7512 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg. The limit is different in the office and the hospital. Use the one for your setting.
Practitioner Office
0 units / day
Not payable in this setting
Hospital Outpatient
300 units / day
= 300 mg per day
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
Not on the CMS JW / JZ list
CMS does not include Prednisone (J7512) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7512. Wastage billing guide →
Prednisone Clinical Information
Indications and drug classification.
Treated Diseases & Conditions
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
Acquired (autoimmune) hemolytic anemia Acute and subacute bursitis Acute exacerbations of multiple sclerosis Acute gouty arthritis Acute leukemia Acute leukemia of childhood Acute non-specific tenosynovitis Acute nonspecific tenosynovitis Acute rheumatic carditis Adrenocortical insufficiency Adrenocortical insufficiency (primary or secondary) Allergic States Allergic conjunctivitis Allergic corneal marginal ulcers Allergic states Allergic states (seasonal or perennial allergic rhinitis, bronchial asthma, contact dermatitis, atopic dermatitis, serum sickness, drug hypersensitivity reactions) Ankylosing spondylitis Anterior segment inflammation Aspiration pneumonitis Atopic dermatitis Berylliosis Bronchial asthma Bullous dermatitis herpetiformis Chorioretinitis Collagen Diseases Collagen diseases Collagen diseases (systemic lupus erythematosus, systemic dermatomyositis (polymyositis), acute rheumatic carditis) Collagen diseases (systemic lupus erythematosus, systemic dermatomyositis/polymyositis, acute rheumatic carditis) Conditions requiring long-term pharmacologic corticoid therapy Conditions requiring long-term pharmacologic corticosteroid therapy Congenital (erythroid) hypoplastic anemia Congenital adrenal hyperplasia Contact dermatitis Corticosteroid-responsive conditions requiring long-term therapy Dermatologic Diseases Dermatologic diseases Dermatologic diseases (pemphigus, bullous dermatitis herpetiformis, severe erythema multiforme (Stevens-Johnson syndrome), exfoliative dermatitis, mycosis fungoides, severe psoriasis, severe seborrheic dermatitis) Dermatologic diseases (pemphigus, bullous dermatitis herpetiformis, severe erythema multiforme [Stevens-Johnson syndrome], exfoliative dermatitis, mycosis fungoides, severe psoriasis, severe seborrheic dermatitis) Dermatologic diseases (pemphigus, bullous dermatitis herpetiformis, severe erythema multiforme, exfoliative dermatitis, mycosis fungoides, severe psoriasis, severe seborrheic dermatitis) Diffuse posterior uveitis and choroiditis Drug hypersensitivity reactions Edematous States (nephrotic syndrome) Edematous states (nephrotic syndrome without uremia, idiopathic type or due to lupus erythematosus) Edematous states (nephrotic syndrome) Endocrine Disorders Endocrine disorders Endocrine disorders (primary or secondary adrenocortical insufficiency, congenital adrenal hyperplasia, hypercalcemia associated with cancer, nonsuppurative thyroiditis) Endocrine disorders (primary or secondary adrenocortical insufficiency, congenital adrenal hyperplasia, nonsuppurative thyroiditis, hypercalcemia associated with cancer) Epicondylitis Erythroblastopenia (RBC anemia) Exfoliative dermatitis Fulminating or disseminated pulmonary tuberculosis Gastrointestinal Diseases Gastrointestinal diseases Gastrointestinal diseases (ulcerative colitis, regional enteritis) Hematologic Disorders Hematologic disorders Hematologic disorders (idiopathic thrombocytopenic purpura, secondary thrombocytopenia, acquired (autoimmune) hemolytic anemia, erythroblastopenia (RBC anemia), congenital (erythroid) hypoplastic anemia) Hematologic disorders (idiopathic thrombocytopenic purpura, secondary thrombocytopenia, acquired autoimmune hemolytic anemia, erythroblastopenia, congenital erythroid hypoplastic anemia) Hematologic disorders (idiopathic thrombocytopenic purpura, secondary thrombocytopenia, acquired autoimmune hemolytic anemia, erythroblastopenia, congenital hypoplastic anemia) Herpes zoster ophthalmicus Hypercalcemia associated with cancer Idiopathic thrombocytopenic purpura Iritis and iridocyclitis Juvenile rheumatoid arthritis Keratitis Leukemias and lymphomas Loeffler's syndrome Miscellaneous (tuberculous meningitis with subarachnoid block or impending block; trichinosis with neurologic or myocardial involvement) Miscellaneous (tuberculous meningitis; trichinosis with neurologic or myocardial involvement) Multiple Sclerosis Multiple sclerosis Multiple sclerosis (acute exacerbations) Mycosis fungoides Neoplastic Diseases Neoplastic diseases Neoplastic diseases (leukemias and lymphomas in adults, acute leukemia of childhood) Nephrotic syndrome Nephrotic syndrome (edematous states) Nonsuppurative thyroiditis Ophthalmic Diseases Ophthalmic diseases Ophthalmic diseases (allergic corneal marginal ulcers, herpes zoster ophthalmicus, anterior segment inflammation, diffuse posterior uveitis and choroiditis, sympathetic ophthalmia, allergic conjunctivitis, keratitis, chorioretinitis, optic neuritis, iritis and iridocyclitis) Optic neuritis Pemphigus Post-traumatic osteoarthritis Posttraumatic osteoarthritis Primary or secondary adrenocortical insufficiency Psoriatic arthritis Pulmonary tuberculosis (fulminating or disseminated) Regional enteritis Respiratory Diseases Respiratory diseases Respiratory diseases (symptomatic sarcoidosis, Loeffler's syndrome, berylliosis, aspiration pneumonitis, fulminating or disseminated pulmonary tuberculosis) Respiratory diseases (symptomatic sarcoidosis, Loeffler's syndrome, berylliosis, fulminating or disseminated pulmonary tuberculosis, aspiration pneumonitis) Rheumatic Disorders Rheumatic disorders Rheumatic disorders (psoriatic arthritis, rheumatoid arthritis including juvenile rheumatoid arthritis, ankylosing spondylitis, acute and subacute bursitis, acute nonspecific tenosynovitis, acute gouty arthritis, post-traumatic osteoarthritis, synovitis of osteoarthritis, epicondylitis) Rheumatoid arthritis Rheumatoid arthritis, including juvenile rheumatoid arthritis Seasonal or perennial allergic rhinitis Secondary thrombocytopenia Serum sickness Severe acute and chronic allergic and inflammatory ophthalmic diseases Severe erythema multiforme (Stevens-Johnson syndrome) Severe psoriasis Severe seborrheic dermatitis Sympathetic ophthalmia Symptomatic sarcoidosis Synovitis of osteoarthritis Systemic dermatomyositis (polymyositis) Systemic lupus erythematosus Trichinosis Trichinosis with neurologic or myocardial involvement Tuberculous Meningitis Tuberculous meningitis Tuberculous meningitis with subarachnoid block Tuberculous meningitis with subarachnoid block or impending block Tuberculous meningitis with subarachnoid block or impending block; trichinosis with neurologic or myocardial involvement Ulcerative colitis acquired (autoimmune) hemolytic anemia acute and subacute bursitis acute gouty arthritis acute leukemia acute nonspecific tenosynovitis acute rheumatic carditis allergic conjunctivitis allergic corneal marginal ulcers ankylosing spondylitis anterior segment inflammation aspiration pneumonitis atopic dermatitis berylliosis bronchial asthma bullous dermatitis herpetiformis chorioretinitis congenital (erythroid) hypoplastic anemia congenital adrenal hyperplasia contact dermatitis diffuse posterior uveitis and choroiditis drug hypersensitivity reactions epicondylitis erythroblastopenia (RBC anemia) exfoliative dermatitis fulminating or disseminated pulmonary tuberculosis herpes zoster ophthalmicus hypercalcemia associated with cancer idiopathic thrombocytopenic purpura iritis and iridocyclitis juvenile rheumatoid arthritis keratitis leukemias and lymphomas mycosis fungoides nephrotic syndrome nonsuppurative thyroiditis optic neuritis pemphigus post-traumatic osteoarthritis posttraumatic osteoarthritis primary or secondary adrenocortical insufficiency psoriatic arthritis regional enteritis rheumatoid arthritis seasonal or perennial allergic rhinitis secondary thrombocytopenia serum sickness severe erythema multiforme (Stevens-Johnson syndrome) severe psoriasis severe seborrheic dermatitis sympathetic ophthalmia symptomatic sarcoidosis synovitis of osteoarthritis systemic dermatomyositis (polymyositis) systemic lupus erythematosus trichinosis with neurologic or myocardial involvement tuberculous meningitis with subarachnoid block or impending block ulcerative colitis
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Drug Class
Corticosteroid Hormone Receptor Agonists [MoA]Corticosteroid [EPC]
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Frequently Asked Questions
Is there an available Prednisone billing and coding guide?
We have not yet identified a manufacturer source of Prednisone billing and coding information.
Are there any available Prednisone patient assistance programs?
Our team did not identify a source for Prednisone patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Prednisone prescribing information?
Prednisone prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Prednisone side effect information?
Our team has not yet identified a source of side effects information for Prednisone. Please check back in a few weeks.
Does billing Prednisone require JZ/JW wastage modifiers?
CMS does not include Prednisone (J7512) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7512. For more information, visit the link below.
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