J7520 Sirolimus, oral
Also known as: Rapamune, Oral sirolimus
Sirolimus administered orally; an immunosuppressive agent that inhibits mammalian target of rapamycin, used to prevent organ rejection in transplant recipients.
In Plain Language
Transplant rejection prevention pill; Immunosuppressive medication
Clinical Context
Used in kidney transplant recipients as part of immunosuppressive regimen. Often used in combination with other immunosuppressants such as tacrolimus or mycophenolate.
RVU Information
CPT J7520 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J7520?
CPT J7520 (Sirolimus, oral) is a J Codes (Drugs) code. Sirolimus administered orally; an immunosuppressive agent that inhibits mammalian target of rapamycin, used to prevent organ rejection in transplant recipients.
How is J7520 administered?
CPT J7520 is administered by a healthcare provider, typically via injection or infusion. Used in kidney transplant recipients as part of immunosuppressive regimen. Often used in combination with other immunosuppressants such as tacrolimus or mycophenolate. It is used by Transplant Surgery, Nephrology, Immunology.
When is CPT J7520 used?
Used in kidney transplant recipients as part of immunosuppressive regimen. Often used in combination with other immunosuppressants such as tacrolimus or mycophenolate.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.