J7613 - Albuterol breathing medication, non-compounded, 1 mg unit dose
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This code represents a 1 mg unit dose of albuterol inhalation solution that is FDA-approved and non-compounded (not custom-mixed). Albuterol is a bronchodilator medication that helps open airways in the lungs, making it easier to breathe. This specific form is administered through durable medical equipment (DME) such as a nebulizer machine. Each unit dose contains 1 mg of albuterol in a pre-measured solution ready for inhalation treatment.
Additional Information
This is a unit dose measurement for billing purposes. The actual number of treatments and frequency would be determined by your healthcare provider's prescription.
Category
Respiratory Medications
Medical Specialty
Pulmonology/Respiratory Therapy
Expected Costs
We expect this to normally be in the range of:
$5 - $15
This is an estimate based on typical billing patterns. Your actual cost may vary depending on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Prescription from healthcare provider
- Nebulizer or compatible DME device
What to Expect After
- Monitor breathing response
- Follow prescribed dosing schedule
- Regular check-ups with prescribing physician
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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