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See a sample rate comparisonHCPCS J7799 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.
Noc drugs, other than inhalation drugs, administered through DME
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Not Otherwise Classified |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Related NDC Codes | • 00264-7520-00 - DEXTROSE (EXCEL) 10% • 00264-7520-10 - DEXTROSE (EXCEL) 10% • 00264-7612-00 - DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45% • 00264-7612-10 - DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45% • 00264-7614-10 - DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.33% |
National average reimbursement for HCPCS J7799 by major payers:
$45.60
$70.00
$47.98
$77.84
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HCPCS J7799
5 of 25 sample ratesHigher to lower in this preview
Willis Knighton Medical Center, Inc., Willis Knighton South Hospital
Willis-Knighton Medical Center
$128.22Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
$60.00Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
North Shore Medical Center Inc
$55.00Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
$40.00Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
$35.00Published rate
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See a sample payer proposalHCPCS J7799 vs. Other Drugs, Not Otherwise Classified Codes
The HCPCS J7799 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Not Otherwise Classified. 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 J7799 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 |
|---|---|---|
| 00264-7520-00-NDC | Moderate | DEXTROSE (EXCEL) 10% |
| 00264-7520-10-NDC | Moderate | DEXTROSE (EXCEL) 10% |
| 00264-7612-00-NDC | Moderate | DEXTROSE/SODIUM CHLORIDE (EXCEL) 5%-0.45% |
| J7799-HCPCS | Low | Noc drugs, other than inhalation drugs, administered through DME |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7799 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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