HCPCS code J7613 — Albuterol non-comp unit. Status: Active. Effective Jul 1, 2009. Source: CMS HCPCS Level II.

J7613

Active

Albuterol non-comp unit

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

Category: Drugs

Section: J-codes: Drugs Administered Other Than Oral Method

Effective: Jul 1, 2009

Code type: alphanumeric

OPPS Status: M — Items / services not billable to the fiscal intermediary or MAC

Maximum units of J7613 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type	Max Units / Day	Adjudication	Rationale
DME Supplier	1395	3 — Date of Service Edit: Clinical	Published Contractor Policy
Outpatient Hospital	0	3 — Date of Service Edit: Clinical	CMS Policy
Practitioner Services	10	3 — Date of Service Edit: Clinical	Prescribing Information

Source: CMS Medicare NCCI Medically Unlikely Edits

National Drug Codes (NDCs) mapped to this HCPCS code.

Search Medicare's official policy database for Local (LCD) and National (NCD) Coverage Determinations covering this code.

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Data sourced from CMS. Updated quarterly.

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