HCPCS J7620 (Albuterol Ipratropium) Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Drugs Administered Other than Oral Method • Inhalation Solutions |
| Common Place of Service | • 20 - Urgent Care Facility • 99 - Other POS • 11 - Office |
| Complexity Level | Low |
| Medicare Payment Limit | $0.195  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00378-9671-30 - IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30X3ML,5 VIALS/POUCH) • 00378-9671-60 - IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (STERILE (60X3ML)) 3 MG/3 ML-0.5 MG/3 ML • 00378-9671-93 - IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML, 1 VIAL/POUCH) 3 MG/3 ML-0.5 MG/3 ML • 00487-0201-01 - IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML) 3 MG/3 ML-0.5 MG/3 ML • 00487-0201-03 - IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30X3ML) |
National average reimbursement for HCPCS J7620 by major payers:
$0.22
$0.28
$0.30
$0.21
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J7620 | ||||||
United | J7620 | $0.12 | 1205098712 - RAM PAREKH | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1164477725 - DECATUR MEMORIAL HOSPITAL | 370661199 - DECATUR MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1295856755 - MAGEE BENEVOENT ASSOCIATION, MAGEE GENERAL HOSPITAL CRNA | 640324402 - (MS) MAGEE BENEVOLENT ASSOCIATION | MS | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.17 | 1720030703 - THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC., JONES MEMORIAL HOSPITAL | 222807681 - (NY) MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | NY | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1770573222 - UPMC CHAUTAUQUA AT WCA, WOMAN'S CHRISTIAN ASSOCIATION HOSPITAL | 160743226 - UPMC CHAUTAUQUA AT WCA | NY | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1154302214 - SANTIAM MEMORIAL HOSPITAL | 930415219 - (OR) SANTIAM MEMORIAL HOSPITAL | OR | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1093912032 - ADVENTIST MIDWEST HEALTH, ADVENTHEALTH HINSDALE | 362276984 - ADVENTIST MIDWEST HEALTH | IL | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1689747552 - UNM HOSPITAL | 856003005 | NM | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.23 | 1801891809 - ASANTE THREE RIVERS MEDICAL CENTER, LLC | 571181758 - (OR) ASANTE THREE RIVERS MEDICAL CENTER LLC | OR | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1902192909 - NICOLETTE TEDESCHI | 133911072 - (NY) MAIMONIDES MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1386074516 - SETON HEALTH SYSTEM, INC. | 141338544 - SAMARITAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.18 | 1801883780 - TANNER MEDICAL CENTER, INC, TANNER HEALTH SYSTEM | 581790149 - (GA) TANNER MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | J7620 | $1.83 | 1063494177 - ST LUKES HOSPITAL OF KANSAS CITY, SAINT LUKE'S HOSPITAL OF KANSAS CITY | 440545297 - ST LUKES HOSPITAL OF KANSAS CITY | MO | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.40 | 1336333954 - TWIN CITIES SURGICAL HOSPITAL LLC, SUTTER SURGICAL HOSPITAL - NORTH VALLEY | 352182617 - (CA) TWIN CITIES SURGICAL HOSPITAL LLC | CA | General Acute Care Hospital (282N00000X) |
United | J7620 | $0.33 | 1720589328 - PIEDMONT WALTON HOSPITAL INC | 824194264 - (GA) PIEDMONT WALTON HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS J7620 vs. Other Inhalation Solutions Codes
The HCPCS J7620 code is part of the Drugs Administered Other than Oral Method services used for Inhalation Solutions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J7620 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00378-9671-30-NDC | Moderate | IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30X3ML,5 VIALS/POUCH) |
| 00378-9671-60-NDC | Moderate | IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (STERILE (60X3ML)) 3 MG/3 ML-0.5 MG/3 ML |
| 00378-9671-93-NDC | Moderate | IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (30X3ML, 1 VIAL/POUCH) 3 MG/3 ML-0.5 MG/3 ML |
| J7620-HCPCS | Low | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, non-compounded, administered through DME |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7620 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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