J7613
J7613 – Albuterol, inhalation solution, fda-approved final product, non-compound · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 48 NDCs crosswalked per 1 MG $0.063/unit ASP+6%
📋 J7613 summary
J7613 is a HCPCS Level II J-code used to bill Albuterol, inhalation solution, fda-approved final product, non-compounded, administered t..., billed per 1 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with J7613: Albuterol Sulfate(J7613), Albuterol, Albuterol Sulfate Inhalation Solution
Code J7613
Billing unit 1 MG Payment limit $0.063/unit NDC-Crosswalk 48
Quarter Q3 2026
RxCUI Atlas Trace the drug concept →
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeJ7613
DescriptorAlbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg
Billing unit1 MG
Payment limit / unit$0.063
Est. ASP / unit$0.059 est.
Mapped NDCs48
Data periodQ3 2026
Last updated2026-09-20
💊 About Albuterol DRUG GUIDE
Albuterol is used to treat or prevent bronchospasm — sudden tightening of the airways — in adults and children with reversible obstructive airway disease, such as asthma.
Most inhaled formulations (HFA inhalers, dry-powder inhalers, and nebulizer solutions) are approved for patients 4 years and older, though some nebulizer solutions are approved for children as young as 2, and the oral syrup covers adults and children 2 and older.
Albuterol tablets are approved for adults and children 6 and older.Albuterol inhaled products are also used to prevent exercise-induced bronchospasm in patients 4 years and older.
The inhaled aerosol solution (0.5%) is approved specifically for relief of bronchospasm and acute attacks in patients 12 and older.
Clinical overview from our editorial drug guide for Albuterol. For billing reference, see the sections above.
🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026
📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$0.063
Est. ASP / unit
$0.059 est.
Est. after 2% sequester
$0.062
HCPCS dosage
1 MG
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.
Full HCPCS code details (official CMS record)
Long descriptionAlbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg
CoverageD — Special coverage instructions apply
Pricing indicator00 — Not separately priced (bundled)
Type of service1 — Medical care
BETOS-2D1G
ASC payment group—
Action codeN — No maintenance this year
Effective date2009-07-01
Date added2005-01-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J7613 = 1 mg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under J7613 LEAST EXPENSIVE FIRST
48 NDCs map to J7613. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.063/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 00378-8270-52 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Mylan | 1 POUCH in 1 CARTON (0378-8270-52) / 25 A... | 2.5 mg/3mL | 63 | $3.97 | $0.059 | ● Active | CMS + PDAC |
| 00487-9501-25 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Nephron | 1 POUCH in 1 CARTON (0487-9501-25) / 25 V... | 2.5 mg/3mL | 63 | $3.97 | $0.059 | ● Active | CMS + PDAC |
| 47335-0703-49 | Albuterol Sulfate .83 mg/mL SOLUTION | Sun | 5 POUCH in 1 CARTON (47335-703-49) / 5 VI... | .83 mg/mL | 63 | $3.97 | $0.059 | ● Active | CMS + PDAC |
| 76204-0200-25 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Ritedose | 1 POUCH in 1 CARTON (76204-200-25) / 25 A... | 2.5 mg/3mL | 63 | $3.97 | $0.059 | ● Active | CMS + PDAC |
| 65862-0858-25 | ALBUTEROL SULFATE .83 mg/mL SOLUTION | Aurobindo | 5 POUCH in 1 CARTON (65862-858-25) / 5 VI... | .83 mg/mL | 0.83 | $0.05 | $0.059 | ● Active | PDAC |
| 00378-8270-55 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Mylan | 30 POUCH in 1 CARTON (0378-8270-55) / 1 A... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 00378-8270-93 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Mylan | 1 POUCH in 1 CARTON (0378-8270-93) / 30 A... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 00487-9501-01 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Nephron | 30 POUCH in 1 CARTON (0487-9501-01) / 1 V... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 00487-9501-03 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Nephron | 1 POUCH in 1 CARTON (0487-9501-03) / 30 V... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 47335-0703-52 | Albuterol Sulfate .83 mg/mL SOLUTION | Sun | 6 POUCH in 1 CARTON (47335-703-52) / 5 VI... | .83 mg/mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 60687-0395-83 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | American | 30 POUCH in 1 CARTON (60687-395-83) / 1 A... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 62135-0828-84 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Chartwell | 6 POUCH in 1 CARTON (62135-828-84) / 5 VI... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 76204-0200-01 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Ritedose | 30 POUCH in 1 CARTON (76204-200-01) / 1 A... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 76204-0200-30 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Ritedose | 1 POUCH in 1 CARTON (76204-200-30) / 30 A... | 2.5 mg/3mL | 75 | $4.73 | $0.061 | ● Active | CMS + PDAC |
| 65862-0858-30 | ALBUTEROL SULFATE .83 mg/mL SOLUTION | Aurobindo | 6 POUCH in 1 CARTON (65862-858-30) / 5 VI... | .83 mg/mL | 0.83 | $0.05 | $0.061 | ● Active | PDAC |
| 00378-8270-91 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Mylan | 2 POUCH in 1 CARTON (0378-8270-91) / 30 A... | 2.5 mg/3mL | 150 | $9.45 | $0.066 | ● Active | CMS + PDAC |
| 00487-9501-60 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Nephron | 2 POUCH in 1 CARTON (0487-9501-60) / 30 V... | 2.5 mg/3mL | 150 | $9.45 | $0.066 | ● Active | CMS + PDAC |
| 47335-0703-54 | Albuterol Sulfate .83 mg/mL SOLUTION | Sun | 12 POUCH in 1 CARTON (47335-703-54) / 5 V... | .83 mg/mL | 150 | $9.45 | $0.066 | ● Active | CMS + PDAC |
| 76204-0200-60 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | Ritedose | 2 POUCH in 1 CARTON (76204-200-60) / 30 A... | 2.5 mg/3mL | 150 | $9.45 | $0.066 | ● Active | CMS + PDAC |
| 65862-0858-60 | ALBUTEROL SULFATE .83 mg/mL SOLUTION | Aurobindo | 12 POUCH in 1 CARTON (65862-858-60) / 5 V... | .83 mg/mL | 0.83 | $0.05 | $0.066 | ● Active | PDAC |
| 00378-7057-52 | Albuterol .63 mg/3mL SOLUTION | Mylan | 5 POUCH in 1 CARTON (0378-7057-52) / 5 VI... | .63 mg/3mL | 16 | $1.01 | $0.189 | ● Active | CMS + PDAC |
| 50742-0392-25 | Albuterol Sulfate .63 mg/3mL SOLUTION | Ingenus | 5 POUCH in 1 CARTON (50742-392-25) / 5 VI... | .63 mg/3mL | 16 | $1.01 | $0.189 | ● Active | CMS + PDAC |
| 76204-0010-55 | Albuterol Sulfate Inhalation Solution .63 mg/3mL SOLUTION | Ritedose | 25 POUCH in 1 CARTON (76204-010-55) / 5 V... | .63 mg/3mL | 16 | $1.01 | $0.189 | ● Active | CMS + PDAC |
| 00378-7058-52 | Albuterol 1.25 mg/3mL SOLUTION | Mylan | 5 POUCH in 1 CARTON (0378-7058-52) / 5 VI... | 1.25 mg/3mL | 32 | $2.02 | $0.198 | ● Active | CMS + PDAC |
| 50742-0393-25 | Albuterol Sulfate 1.25 mg/3mL SOLUTION | Ingenus | 5 POUCH in 1 CARTON (50742-393-25) / 5 VI... | 1.25 mg/3mL | 32 | $2.02 | $0.198 | ● Active | CMS + PDAC |
| 76204-0011-55 | Albuterol Sulfate Inhalation Solution 1.25 mg/3mL SOLUTION | Ritedose | 25 POUCH in 1 CARTON (76204-011-55) / 5 V... | 1.25 mg/3mL | 32 | $2.02 | $0.198 | ● Active | CMS + PDAC |
| 00487-9904-01 | Albuterol Sulfate 1.25 mg/3mL SOLUTION | Nephron | 30 POUCH in 1 CARTON (0487-9904-01) / 1 V... | 1.25 mg/3mL | 38 | $2.39 | $0.220 | ● Active | CMS + PDAC |
| 62135-0827-84 | Albuterol Sulfate 1.25 mg/3mL SOLUTION | Chartwell | 30 POUCH in 1 CARTON (62135-827-84) / 1 V... | 1.25 mg/3mL | 38 | $2.39 | $0.220 | ● Active | CMS + PDAC |
| 76204-0011-01 | Albuterol Sulfate Inhalation Solution 1.25 mg/3mL SOLUTION | Ritedose | 30 POUCH in 1 CARTON (76204-011-01) / 1 V... | 1.25 mg/3mL | 38 | $2.39 | $0.220 | ● Active | CMS + PDAC |
| 59651-0184-30 | ALBUTEROL SULFATE 1.25 mg/3mL SOLUTION | Aurobindo | 6 POUCH in 1 CARTON (59651-184-30) / 5 VI... | 1.25 mg/3mL | 0.417 | $0.03 | $0.220 | ● Active | PDAC |
| 00487-0301-01 | Albuterol Sulfate .63 mg/3mL SOLUTION | Nephron | 30 POUCH in 1 CARTON (0487-0301-01) / 1 V... | .63 mg/3mL | 19 | $1.20 | $0.251 | ● Active | CMS + PDAC |
| 62135-0826-84 | Albuterol Sulfate .63 mg/3mL SOLUTION | Chartwell | 30 POUCH in 1 CARTON (62135-826-84) / 1 V... | .63 mg/3mL | 19 | $1.20 | $0.251 | ● Active | CMS + PDAC |
| 76204-0010-01 | Albuterol Sulfate Inhalation Solution .63 mg/3mL SOLUTION | Ritedose | 30 POUCH in 1 CARTON (76204-010-01) / 1 V... | .63 mg/3mL | 19 | $1.20 | $0.251 | ● Active | CMS + PDAC |
| 59651-0183-30 | ALBUTEROL SULFATE .63 mg/3mL SOLUTION | Aurobindo | 6 POUCH in 1 CARTON (59651-183-30) / 5 VI... | .63 mg/3mL | 0.21 | $0.01 | $0.251 | ● Active | PDAC |
| 00487-9904-25 | Albuterol Sulfate | Nephron | — | — | 32 | $2.02 | — | — | CMS + PDAC |
| 00591-3467-53 | Albuterol Sulfate | Actavis | — | — | 16 | $1.01 | — | — | CMS + PDAC |
| 00591-3468-53 | Albuterol Sulfate | Actavis | — | — | 32 | $2.02 | — | — | CMS + PDAC |
| 50090-0516-00 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | A-S | 1 POUCH in 1 CARTON (50090-0516-0) / 25 m... | 2.5 mg/3mL | 63 | $3.97 | — | ● Active | CMS ASP |
| 50090-0516-01 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | A-S | 5 POUCH in 1 CARTON (50090-0516-1) / 25 m... | 2.5 mg/3mL | 313 | $19.72 | — | ● Active | CMS ASP |
| 50090-6560-00 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | A-S | 25 POUCH in 1 CARTON (50090-6560-0) / 3 m... | 2.5 mg/3mL | 63 | $3.97 | — | ● Active | CMS ASP |
| 50090-6560-01 | Albuterol Sulfate 2.5 mg/3mL SOLUTION | A-S | 75 POUCH in 1 CARTON (50090-6560-1) / 3 m... | 2.5 mg/3mL | 188 | $11.84 | — | ● Active | CMS ASP |
| 59651-0184-25 | ALBUTEROL SULFATE 1.25 mg/3mL SOLUTION | Aurobindo | 5 POUCH in 1 CARTON (59651-184-25) / 5 VI... | 1.25 mg/3mL | 0.417 | $0.03 | — | ● Active | PDAC |
| 59651-0183-25 | ALBUTEROL SULFATE .63 mg/3mL SOLUTION | Aurobindo | 5 POUCH in 1 CARTON (59651-183-25) / 5 VI... | .63 mg/3mL | 0.21 | $0.01 | — | ● Active | PDAC |
| 00591-3797-83 | ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% (25X3ML) | Unknown | — | — | 0.83 | $0.05 | — | — | PDAC |
| 00591-3797-30 | ALBUTEROL SULFATE (30X3ML) 0.083% | Unknown | — | — | 0.83 | $0.05 | — | — | PDAC |
| 00591-3797-60 | ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% (60x3ML) | Unknown | — | — | 0.83 | $0.05 | — | — | PDAC |
| 00378-6992-52 | ALBUTEROL SULFATE (25X3ML,PF) 1.25 MG/3 ML | Unknown | — | — | 0.417 | $0.03 | — | — | PDAC |
| 00378-6991-52 | ALBUTEROL SULFATE (25X3ML,PF) 0.63 MG/3 ML | Unknown | — | — | 0.21 | $0.01 | — | — | PDAC |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)
Period
Total Part B spend
$1.14M
Claims
86,874
Beneficiaries
67,003
Spend / beneficiary
$17.08
Spend / claim
$13.18
Trend by period
Where J7613 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #367 of 824
#362
CYCLOPHOSPHAMIDE(J90... J9075
$1.2M
#363
REVOSHIELD+ AMNIO, P... Q4289
$1.19M
#364
RELEUKO Q5125
$1.19M
#365
ENGERIX-B ADULT(9074... 90747
$1.16M
#366
GLUCAGON EMERGENCY K... J1611
$1.16M
#367
ALBUTEROL SULFATE(J7... J7613
$1.14M
#368
ADZYNMA J7171
$1.14M
#369
NOVAVAX COVID (EUA... 91304
$1.11M
#370
ALHEMO PEN J7173
$1.11M
#371
LEUCOVORIN CALCIUM J0640
$1.1M
#372
TRETTEN J7181
$1.09M
Total claims — #28 of 824
#23
EVENITY (2 SYRINGES) J3111
106,087
#24
IPRATROPIUM-ALBUTERO... J7620
105,195
#25
BOTOX COSMETIC* J0585
104,273
#26
DIPHENHYDRAMINE HCL J1200
97,723
#27
CLARISCAN* A9575
91,951
#28
ALBUTEROL SULFATE(J7... J7613
86,874
#29
BUDESONIDE* J7626
84,831
#30
DARZALEX FASPRO J9144
82,545
#31
SPIKEVAX * 91322
76,644
#32
AVASTIN J9035
74,904
#33
ELIGARD* J9217
74,331
Top Medicare Part B drugs by the selected metric. Click any drug to open its J-code page. Source: CMS Medicare Quarterly Part B Spending by Drug.
Full breakdown by period (2)
| Period | Total spend | Beneficiaries | Claims | $/beneficiary | $/claim |
|---|---|---|---|---|---|
| 2026 (Q1) | $1.14M | 67,003 | 86,874 | $17.08 | $13.18 |
| 2025 (Q1-Q4) | $7.31M | 220,085 | 489,263 | $33.21 | $14.94 |
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$7.42M
Medicare paid
$5.32M
Submitted services
103,924,480
Denial rate
5.7%
Allowed / service
$0.08
Submitted charges
$44.13M
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
🗺️ Where J7613 is utilized CMS · BY PROVIDER · 2024
Medicare Part B services for this code by the rendering provider's state — 67,884 services across 43 states & territories in 2024 (CMS reports include DC and U.S. territories). Switch to per 100k to compare states fairly regardless of population. Hover or tap a state for its top ZIP codes.
Hover or tap a state to see its numbers + top ZIP codes.
Per-capita = services ÷ 2023 state population × 100,000 (so high-population states aren't automatically "hotter"). Counts reflect the provider's location, not the patient's. Providers with fewer than 11 patients are hidden by CMS for privacy, so totals run low and per-100k can be noisy in small states — read this as relative geography, not exact counts. Source: CMS Medicare Physician & Other Practitioners — by Provider and Service, 2024.
📊 What bills under J7613
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-09-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
48 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ J7613 billing FAQ
What is HCPCS code J7613?
J7613 is a HCPCS Level II J-code used to bill Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J7613?
One unit of J7613 represents 1 MG. Report the number of units equal to the dose administered divided by 1 MG.
How many units of J7613 should I bill?
Divide the dose administered by the code's unit size (1 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J7613?
The Medicare Part B payment limit is $0.063 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.062 per unit. Payment limits are revised quarterly.
Which NDCs bill under J7613?
48 NDCs currently map to J7613 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J7613 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.