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See a sample rate comparisonHCPCS J7680 (Terbutaline Sulfate) 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.
Terbutaline sulfate, 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 | 41 - Ambulance - Land None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7680 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7680 by major payers:
$22.97
$0.06
$1.49
$7.77
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HCPCS J7680
5 of 25 sample ratesHigher to lower in this preview
North Shore Medical Center, Inc., North Shore Medical Center
$60.00Published rateAndreas Rimner
$0.02Published rateOroville Hospital
$0.01Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$0.01Published rateBrittany Ptachick
Hroa 401k Plan
$0.01Published rate
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See a sample payer proposalHCPCS J7680 vs. Other Inhalation Solutions Codes
The HCPCS J7680 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 J7680 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 |
|---|---|---|
| J7677-HCPCS | Low | Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through DME, 1 microgram |
| J7680-HCPCS | Low | Terbutaline sulfate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram |
| J7681-HCPCS | Low | Terbutaline sulfate, 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 J7680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7680 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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