HCPCS Code Details - J7613

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7613
Description

Long description:
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg

Short description:
Albuterol non-comp unit

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code D - Special coverage instructions apply
BETOS2 code D1G - Drugs Administered through DME
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2009
Date added Added Jan 01, 2005
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J7613

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2017 - December 31, 2017 1 MG 0.047 - - - - - -
July 1, 2017 - September 30, 2017 1 MG 0.048 - - - - - -
April 1, 2017 - June 30, 2017 1 MG 0.049 - - - - - -
January 1, 2017 - March 31, 2017 1 MG 0.048 - - - - - -
October 1, 2016 - December 31, 2016 1 MG 0.048 - - - - - -

See also

  • HCPCS J7612 · Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg

  • HCPCS J7609 · Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg

  • HCPCS J7610 · Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg

  • HCPCS J7611 · Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg

  • HCPCS J7614 · Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”