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Billing Albuterol inhalation solution

Jean Posted Wed 12th of October, 2011 13:46:33 PM

Does anyone bill for Albuterol inhalation solution administered (J7613) if so are you having any issues with the insurance.

SuperCoder Answered Wed 12th of October, 2011 15:29:54 PM

The bottom part of the following article deals with denials related to J7613:
http://www.supercoder.com/articles/articles-alerts/pca/report-reinstated-albuterol-levalbuterol-codes-to-avoid-denials-1777/?zoom_highlight=j7613

Jean Posted Wed 12th of October, 2011 15:44:47 PM

Do you know if the J7602-J7603 valid? Its no longer in the 2011 HCPCS book.

Jean Posted Thu 13th of October, 2011 19:19:52 PM

Does anyone else bill this code?

SuperCoder Answered Thu 13th of October, 2011 19:25:50 PM

In the article in the given link itself, it is written that J7602-J7603 is no longer valid?

Jean Posted Thu 13th of October, 2011 19:48:58 PM

Then what is the valid code to use when billing this procedure

SuperCoder Answered Thu 13th of October, 2011 20:00:07 PM

Your 2008 superbill should be fresh off the presses from its changes to albuterol/levalbuterol codes J7602 (Albuterol, all formulations including separated isomers, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, per 1 mg [albuterol] or per 0.5 mg [levalbuterol]) and J7603 (… unit dose …). You’ll now need to shift the supply codes back to:

• J7611 — Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 1 mg

• J7612 — Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg

• J7613 — Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 1 mg

• J7614 — Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mg.

Focus on 2 J7611-J7614 Factors:-

You can get the correct noncompounded solution supply code if you zoom in on two items:

• form — concentrated (J7611, J7612) or unit dose (J7613, J7614).

• drug — albuterol (J7611, J7613) or levalbuterol (J7612, J7614).

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