HCPCS J7685 (Tobramycin) Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Drugs Administered Other than Oral Method • Inhalation Solutions |
| Common Place of Service | • 11 - Office • None • 99 - Other POS |
| Complexity Level | Low |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 38779-0319-01 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-03 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-04 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-05 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-06 - TOBRAMYCIN SULFATE (U.S.P.) |
National average reimbursement for HCPCS J7685 by major payers:
$33.74
$21.46
$61.73
$54.01
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J7685 | ||||||
United | J7685 | $16.63 | 1518998038 - SPARTANBURG MEDICAL CENTER, SPARTANBURG MEDICAL CENTER PROFESSIONAL SERVICES | 832531807 | SC | General Acute Care Hospital (282N00000X) |
United | J7685 | $16.00 | 1831269539 - MISSOURI DELTA MEDICAL CENTER | 430633449 - MISSOURI DELTA MEDICAL CENTER | MO | General Acute Care Hospital (282N00000X) |
United | J7685 | $16.00 | 1790864023 - UNIVERSITY OF MISS MEDICAL CENTER, UNIVERSITY OF MS MEDICAL CENTER | 610444716 - ASHLAND HOSPITAL CORPORATION | MS | General Acute Care Hospital (282N00000X) |
United | J7685 | $16.00 | 1841394418 - THE DCH HEALTHCARE AUTHORITY, NORTHPORT MEDICAL CENTER | 636000271 - (AL) THE DCH HEALTH CARE AUTHORITY | AL | General Acute Care Hospital (282N00000X) |
United | J7685 | $22.32 | 1528214392 - JACOB TOAFF | 462691028 | DC | General Acute Care Hospital (282N00000X) |
United | J7685 | $128.10 | 1326010273 - ALAMANCE REGIONAL MEDICAL CENTER, INC. | 560529994 - (NC) ALAMANCE REGIONAL MEDICAL CENTER | NC | General Acute Care Hospital (282N00000X) |
United | J7685 | $24.46 | 1548374549 - NEW YORK AND PRESBYTERIAN HOSPITAL, NEWYORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 111631796 - (NY) NEWYORK-PRESBYTERIAN BROOKLYN METHODIST | NY | General Acute Care Hospital (282N00000X) |
United | J7685 | $28.90 | 1225199128 - FAIRVIEW HEALTH SERVICES, FAIRVIEW DIAGNOSTIC LABORATORY | 410991680 - FAIRVIEW HEALTH SERVICES | MN | General Acute Care Hospital (282N00000X) |
United | J7685 | $29.28 | 1821198755 - GEISINGER BLOOMSBURG HOSPITAL, THE BLOOMSBURG HOSPITAL | 236291113 - GEISINGER CLINIC | PA | General Acute Care Hospital (282N00000X) |
United | J7685 | $110.19 | 1881659274 - HUDSON VALLEY HOSPITAL CENTER | 131740120 - (NY) HUDSON VALLEY HOSPITAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | J7685 | $15.94 | 1568416311 - ASCENSION BORGESS HOSPITAL | 381360526 - (MI) ASCENSION BORGESS HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | J7685 | $16.90 | 1013374115 - NORWELL HEALTH AT SOUTHSIDE HOSPITAL | 111667761 - (NY) SOUTH SHORE UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | J7685 | $15.94 | 1447571658 - SUMNER REGIONAL MEDICAL CENTER LLC, SUMNER REGIONAL MEDICAL CENTER | 621573738 - (TN) SUMNER REGIONAL HEALTH SYSTEM, INC. | TN | General Acute Care Hospital (282N00000X) |
United | J7685 | $21.06 | 1093956005 - KATHALEEN DONNELLY | 112558775 - (NY) STONY BROOK INTERNISTS P C | NY | General Acute Care Hospital (282N00000X) |
United | J7685 | $22.00 | 1255766531 - MARISSA LIVERIS | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Physician Assistant (363A00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS J7685 vs. Other Inhalation Solutions Codes
The HCPCS J7685 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 J7685 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 |
|---|---|---|
| 38779-0319-01-NDC | Moderate | TOBRAMYCIN SULFATE (U.S.P.) |
| J7684-HCPCS | Low | Triamcinolone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram |
| J7685-HCPCS | Low | Tobramycin, inhalation solution, compounded product, administered through DME, unit dose form, per 300 milligrams |
| J7686-HCPCS | Moderate | Treprostinil, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, 1.74 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7685. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7685 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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