Home › Drug Codes › J Codes › J7613 · ALBUTEROL SULFATE
Updated July 1st, 2026

ALBUTEROL SULFATE J Code: J7613

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

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Q4 2026 Medicare Payment Limit for J7613, effective October 1, 2026: $0.066 per HCPCS billing unit, up 4.8% from $0.063. From CMS's final file.

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Medicare Payment Limit ?
$0.063
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
46
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Drug & Product Overview

HCPCS Descriptor Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg
HCPCS Added Date January 1, 2005
Manufacturer Multiple Manufacturers
Route of Administration Inhalation
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Not Available | Solution

About ALBUTEROL SULFATE

Albuterol Sulfate is a medication aligned to the HCPCS J Code: J7613 for billing, pricing, and reimbursement purposes in the United States. Classified under Respiratory, it is administered via the inhalation route and manufactured by multiple companies.

According to CMS Drug Use Information: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 46 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00378-7057-52 Albuterol Mylan Pharmaceuticals Inc. 16 0.63 MG / 3 ML
00487-0301-01 Albuterol Sulfate Nephron Pharmaceuticals Corporation 19 0.63 MG / 3 ML
00487-9904-25 Albuterol Sulfate Nephron SC, Inc. 32 1.25 MG / 3 ML
00591-3467-53 Albuterol Sulfate Actavis Pharma, Inc. 16 0.63 MG / 3 ML
47335-0703-49 Albuterol Sulfate Sun Pharmaceutical Industries, Inc. 63 2.49 MG / 3 ML
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ALBUTEROL SULFATE Pricing & Reimbursement

J7613 Private Payer Reimbursement
$0.10 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

ALBUTEROL SULFATE CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes.
Not on the CMS JW / JZ list

CMS does not include Albuterol Sulfate (J7613) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7613. Wastage billing guide →

ALBUTEROL SULFATE Medically Unlikely Edits (MUE)

The most billing units of J7613 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
10 units / day
= 10 mg per day
Hospital Outpatient
0 units / day
Not payable in this setting

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

ALBUTEROL SULFATE Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Bronchospasm in asthma Bronchospasm in asthma (reversible obstructive airway disease) Bronchospasm in reversible obstructive airway disease and acute attacks of bronchospasm Bronchospasm with asthma (reversible obstructive airway disease) Bronchospasm with reversible obstructive airway disease and acute attacks of bronchospasm bronchospasm in reversible obstructive airway disease and acute attacks of bronchospasm
Drug Class
Adrenergic beta2-Agonists [MoA]beta2-Adrenergic Agonist [EPC]

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Frequently Asked Questions

Is there an available Albuterol Sulfate billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for ALBUTEROL SULFATE.
Are there any available Albuterol Sulfate patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for ALBUTEROL SULFATE.
Where can I find Albuterol Sulfate prescribing information?
Our team is still working to identify a prescribing information source for ALBUTEROL SULFATE
Where can I find Albuterol Sulfate side effect information?
Our team has not yet identified a source of side effects information for ALBUTEROL SULFATE. Please check back in a few weeks.
Does billing ALBUTEROL SULFATE require JZ/JW wastage modifiers?
CMS does not include ALBUTEROL SULFATE (J7613) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7613. For more information, visit the link below.

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