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HCPCS J7636 (Atropine) 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.

Atropine, inhalation solution, compounded product, administered through DME, unit dose form, per milligram
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Inhalation Solutions

Common Place of Service

11 - Office

None

41 - Ambulance - Land

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J7636
WAC Price
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Related NDC Codes

• 51552-0156-02 - ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)

• 51552-0156-04 - ATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)

• 51927-1001-00 - ATROPINE SULFATE (U.S.P.)


National average reimbursement for HCPCS J7636 by major payers:

bcbs

$16.41

uhc

$0.14

aetna

$0.82

cigna

$0.46

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J7636.

HCPCS J7636
5 of 25 sample ratesHigher to lower in this preview
  1. Montefiore Mount Vernon Hospital, Montefiore Mount Vernon Professional Billing

    Montefiore Mount Vernon Hospital

    NYGeneral Acute Care HospitalNPI 1013345065Tax ID 46-2916938

    $0.20Published rate
  2. Kona Hospital, Kona Community Hospital

    HIGeneral Acute Care HospitalNPI 1952332991Tax ID 99-0262196

    $0.12Published rate
  3. Winona Health Services, Winona Community Memorial Hospital

    St Alexius Medical Center

    MNGeneral Acute Care HospitalNPI 1295789352Tax ID 45-0226711

    $0.12Published rate
  4. Catholic Medical Center

    NHGeneral Acute Care HospitalNPI 1528150273Tax ID 20-315693

    $0.11Published rate
  5. Ssm Health Care St. Louis, Ssm Health St. Mary'S Hospital - St. Louis

    Ssm Health Care St. Louis

    MOGeneral Acute Care HospitalNPI 1962572396Tax ID 19-62572396

    $0.05Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J7636 vs. Other Inhalation Solutions Codes

The HCPCS J7636 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 J7636 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.

CodeComplexityDescription
51552-0156-02-NDCModerateATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)
51552-0156-04-NDCModerateATROPINE SULFATE MONOHYDRATE (U.S.P.,N.F.)
51927-1001-00-NDCModerateATROPINE SULFATE (U.S.P.)
J7636-HCPCSLowAtropine, 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 J7636. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J7636 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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