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See a sample rate comparisonHCPCS J7642 (Glycopyrrolate) 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.
Glycopyrrolate, 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 | None 11 - Office 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7642 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7642 by major payers:
$16.17
$1.17
$1.63
$1.30
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HCPCS J7642
5 of 25 sample ratesHigher to lower in this preview
Ghaleb Darwazeh
Faculty Physicians And Surgeons Of Llusm
$5.23Published rateMedcentral Health System
Ohiohealth Corporation
$1.38Published rateSouthwest Medical Care Corporation
$1.03Published rateMercy Health, Harness Health Pharmacy
Mercy Health - Tiffin Hospital LLC
$1.03Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$0.87Published rate
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See a sample payer proposalHCPCS J7642 vs. Other Inhalation Solutions Codes
The HCPCS J7642 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 J7642 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 |
|---|---|---|
| J7641-HCPCS | Low | Flunisolide, inhalation solution, compounded product, administered through DME, unit dose, per milligram |
| J7642-HCPCS | Low | Glycopyrrolate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram |
| J7643-HCPCS | Low | Glycopyrrolate, 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 J7642. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7642 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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