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See a sample rate comparisonHCPCS J7628 (Bitolterol Mesylate) 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.
Bitolterol mesylate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Inhalation Solutions |
| Common Place of Service | 19 - Off Campus Outpatient Hospital 99 - Other POS 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7628 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7628 by major payers:
$0.18
$0.26
$0.22
$0.22
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HCPCS J7628
5 of 25 sample ratesHigher to lower in this preview
Fairview Health Services, Fairview Diagnostic Laboratory
Fairview Health Services
$0.46Published rateWhite Plains Hospital Medical Center, White Plains Hospital Center
White Plains Hospital Medical Center
$0.28Published rateNorth Carolina Specialty Hospital LLC
$0.25Published rateThe Health Care Authority Of Lauderdale County And The City Of Florenc, Eliza Coffee Memorial Hospital
$0.25Published rateKettering Medical Center, Kettering Health Miamisburg
Kettering College
$0.17Published rate
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See a sample payer proposalHCPCS J7628 vs. Other Inhalation Solutions Codes
The HCPCS J7628 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 J7628 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 |
|---|---|---|
| J7627-HCPCS | Low | Budesonide, inhalation solution, compounded product, administered through DME, unit dose form, up to 0.5 mg |
| J7628-HCPCS | Low | Bitolterol mesylate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram |
| J7629-HCPCS | Low | Bitolterol mesylate, 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 J7628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7628 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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