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See a sample rate comparisonHealthcare 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 |
| Medicaid Fee Schedule | View Medicaid rates for J7624 |
| 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
Choose a payer to see a sample of rates for HCPCS J7624.
Aspirus Wausau Hospital Inc
Rockcastle County Hospital Inc
Mercy Hospital Lebanon
Lsu Health Sciences Center - Shreveport Faculty Group Practice
St Joseph Healthcare System Inc
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS 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) |
| 38779-0017-03-NDC | Moderate | BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED) |
| 38779-0017-04-NDC | Moderate | BETAMETHASONE DIPROPIONATE (U.S.P.,MICRONIZED) |
| J7624-HCPCS | Low | Betamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram |
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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