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Updated July 1st, 2026

Budesonide J Code: J7626

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg

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Q4 2026 Medicare Payment Limit for J7626, effective October 1, 2026: $0.923 per HCPCS billing unit, down 15.5% from $1.092. From CMS's final file.

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Medicare Payment Limit ?
$1.092
/ 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 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg
HCPCS Added Date January 1, 2002
Manufacturer Multiple Manufacturers
Route of Administration Inhalation, Oral
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Inhalant | Not Available | Suspension

About Budesonide

Budesonide is a medication aligned to the HCPCS J Code: J7626 for billing, pricing, and reimbursement purposes in the United States. This Respiratory medication is administered via the inhalation or oral routes and manufactured by multiple companies.

According to CMS Drug Use Information: Budesonide is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. This medication belongs to a class of drugs known as corticosteroids. It works directly in the lungs to make breathing easier by reducing the irritation and swelling of the airways. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler as prescribed.

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
00093-6815-55 Budesonide Teva Pharmaceuticals USA, Inc. 30 0.25 MG / 2 ML
00115-1687-74 Budesonide Inhalation Amneal Pharmaceuticals of New York LLC 30 0.25 MG / 2 ML
00186-1988-04 Pulmicort Respules AstraZeneca Pharmaceuticals LP 30 0.25 MG / 2 ML
00487-9601-01 Budesonide Nephron Pharmaceuticals Corporation 30 0.25 MG / 2 ML
16714-0019-30 Budesonide Northstar RxLLC 30 0.5 MG / 2 ML
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Budesonide Pricing & Reimbursement

J7626 Private Payer Reimbursement
$1.11 / 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

Budesonide 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 Budesonide (J7626) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7626. Wastage billing guide →

Budesonide Medically Unlikely Edits (MUE)

The most billing units of J7626 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 0.50 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
2 units / day
Physician office · clinic
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 →

Budesonide 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.

Asthma Allergic rhinitis Crohn’s disease Ulcerative colitis Eosinophilic esophagitis
Drug Class
Corticosteroid Hormone Receptor Agonists [MoA]Corticosteroid [EPC]

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Frequently Asked Questions

Is there an available Budesonide billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Budesonide.
Are there any available Budesonide patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for Budesonide.
Where can I find Budesonide prescribing information?
Budesonide prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Budesonide side effect information?
Our team has not yet identified a source of side effects information for Budesonide. Please check back in a few weeks.
Does billing Budesonide require JZ/JW wastage modifiers?
CMS does not include Budesonide (J7626) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7626. For more information, visit the link below.

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