HCPCS J7624 (Betamethasone) 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 | • 11 - Office • 20 - Urgent Care Facility • 24 - Ambulatory Surgical Center |
| Complexity Level | Low |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 38779-0017-01 - BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED) • 38779-0017-03 - BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED) • 38779-0017-04 - BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED) • 38779-0017-06 - BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED) • 38779-0195-01 - BETAMETHASONE SODIUM PHOSPHATE (U.S.P.) |
National average reimbursement for HCPCS J7624 by major payers:
$0.54
$1.21
$0.99
$1.37
| 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 J7624 | ||||||
United | J7624 | $0.99 | 1598964082 - EMORY HEALTHCARE | 582030692 - EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1609822881 - COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC, FROEDTERT MENOMONEE FALLS HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1720033947 - ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP, HEART HOSPITAL OF AUSTIN | 743001674 - (TX) LONE STAR CIRCLE OF CARE | TX | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.33 | 1114473212 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-FARIS | 571004971 - PRISMA HEALTH-UNIVERSITY MEDICAL GROUP | SC | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.13 | 1457690471 - ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC., ASCENSION ST. VINCENT'S CLAY COUNTY | 461523194 - (FL) ACENSION ST VINCENT SOUTH SIDE | FL | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1720025679 - LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER, EARL K LONG MEDICAL CENTER | 720645546 - (LA) LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER | LA | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1902112345 - CHRISTOPHER YAGLIYAN | 208088453 - (NY) SAMARITAN MEDICAL SERVICES PC | NY | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1396132585 - MA MOE | 263381883 - AMBOY MEDICAL PRACTICE PC | NY | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.26 | 1578660262 - ILONA FIGURA | 60646966 - (CT) WINDHAM COMMUNITY MEMORIAL HOSPITAL INC | CT | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.13 | 1972503464 - KING'S DAUGHTERS MEDICAL CENTER | 461590861 | MS | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.26 | 1780989277 - EISENHOWER MEDICAL CENTER, EISENHOWER | 956130458 - EISENHOWER MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1801851258 - VIRGINIA MASON MEDICAL CENTER | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | WA | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1851344907 - NORTH MEMORIAL HEALTH CARE, NORTH MEMORIAL HEALTH HOSPITAL | 410729979 - NORTH MEMORIAL HEALTH CARE | MN | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1104890714 - ROCKCASTLE COUNTY HOSPITAL INC, ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CENTER | 610523304 - (KY) ROCKCASTLE COUNTY HOSPITAL INC | KY | General Acute Care Hospital (282N00000X) |
United | J7624 | $1.21 | 1497134274 - PRIME HEALTHCARE SERVICES, SAINT CLARE'S HOSPITAL | 463483967 | NJ | 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 J7624 vs. Other Inhalation Solutions Codes
The HCPCS J7624 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 J7624 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 |
|---|---|---|
| 38779-0017-01-NDC | Moderate | BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED) |
| J7622-HCPCS | Low | Beclomethasone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram |
| J7624-HCPCS | Low | Betamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram |
| J7626-HCPCS | Low | Budesonide, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, up to 0.5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7624 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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