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See a sample rate comparisonHCPCS J7620 (Albuterol Ipratropium) Fee Schedule
Last Verified: October 2026
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.
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, non-compounded, administered through DME
| 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 |
| Medicaid Fee Schedule | View Medicaid rates for J7620 |
| 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
Compare published rates across providers.
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HCPCS J7620
5 of 25 sample ratesHigher to lower in this preview
Twin Cities Surgical Hospital LLC, Sutter Surgical Hospital - North Valley
Twin Cities Surgical Hospital LLC
$0.40Published rateFlorida Health Sciences Center Inc, Tampa General Hospital
Tampa General Medical Group Inc
$0.20Published rateMercy Memorial Hospital Corporation
Mercy-Memorial Hospital Corporation
$0.18Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$0.18Published rateNassau Healthcare Corporation, Nassau Department Of Psychiatry And Psychology, Fpp
$0.17Published rate
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See a sample payer proposalHCPCS 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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