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See a sample rate comparisonHCPCS J7638 (Dexamethasone) 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.
Dexamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Inhalation Solutions |
| Common Place of Service | 20 - Urgent Care Facility 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7638 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 38779-0071-01 - DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) • 38779-0071-03 - DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) • 38779-0071-04 - DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) • 38779-0071-05 - DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) • 38779-0071-08 - DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) |
National average reimbursement for HCPCS J7638 by major payers:
$14.07
$0.15
$0.26
$0.51
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HCPCS J7638
5 of 25 sample ratesHigher to lower in this preview
University Hospital At Stony Brook, Stony Brook Southampton Hospital
$0.37Published rateMontefiore Mount Vernon Hospital, Montefiore Mount Vernon Professional Billing
Montefiore Mount Vernon Hospital
$0.14Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$0.12Published rateVail Clinic, Inc., Vail Health Hospital
Vail Clinic Inc
$0.12Published rateUniversity Of Kentucky Department Of Radiology
Kentucky Medical Services Foundation Inc
$0.12Published rate
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See a sample payer proposalHCPCS J7638 vs. Other Inhalation Solutions Codes
The HCPCS J7638 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 J7638 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 |
|---|---|---|
| 38779-0071-01-NDC | Moderate | DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) |
| 38779-0071-03-NDC | Moderate | DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) |
| 38779-0071-04-NDC | Moderate | DEXAMETHASONE SODIUM PHOSPHATE (U.S.P.) |
| J7638-HCPCS | Low | Dexamethasone, 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 J7638. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7638 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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