Home Drug Codes J Codes J7628 · BITOLTEROL MESYLATE
Updated July 1st, 2026

BITOLTEROL MESYLATE J Code: J7628

Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
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Drug & Product Overview

HCPCS Descriptor Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
HCPCS Added Date January 1, 2000
Route of Administration Inhalation
Generic Status Single-Source; Branded

About BITOLTEROL MESYLATE

Bitolterol Mesylate is a medication aligned to the HCPCS J Code: J7628 for billing, pricing, and reimbursement purposes in the United States. Classified under Respiratory, it is administered via the inhalation route.

Manufacturers, reach out to us to add more information.

NDC Code Information

No NDC packages are aligned to J7628 in publicly available CMS files.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
No public NDC alignments
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BITOLTEROL MESYLATE Pricing & Reimbursement

J7628 Private Payer Reimbursement
$0.18 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

BITOLTEROL MESYLATE 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 Bitolterol Mesylate (J7628) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7628. Wastage billing guide →

BITOLTEROL MESYLATE Medically Unlikely Edits (MUE)

The most billing units of J7628 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & 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.

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Frequently Asked Questions

Is there an available Bitolterol mesylate billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Bitolterol mesylate. Please reach out to us if this is a mistake.
Are there any available Bitolterol mesylate patient assistance programs?
Our team has not identified a source of patient assistance information for Bitolterol mesylate. Please reach out to us if this is a mistake.
Where can I find Bitolterol mesylate prescribing information?
No available source of prescribing information for Bitolterol mesylate
Where can I find Bitolterol mesylate side effect information?
A link for Bitolterol mesylate side effect information is not available.
Does billing Bitolterol mesylate require JZ/JW wastage modifiers?
CMS does not include BITOLTEROL MESYLATE (J7628) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7628. For more information, visit the link below.

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