J7614 HCPCS code: Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg

J7614 is the HCPCS Level II code for levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg. In 2024 Medicare paid an average of $0.04 per service for J7614 across 10,848 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 900 per day on DME suppliers. Medicare volume rose 62% from 2022 to 2024 (6,703 to 10,848 services). In 2024, 11,902 suppliers billed Medicare for J7614 (purchases), serving 17,695 beneficiaries; Texas, California, New York accounted for 24% of services.

Code details

FieldValue
SectionJ codes — Drugs administered other than oral method
Coverage codeD — Special coverage instructions apply
Pricing indicator00 — Not separately priced by Medicare
BETOS categoryD1G — Drugs administered through DME
Added2005-01-01
Last action effective2009-07-01

Who bills J7614 (2024)

MeasureValue
Suppliers billing rentals—
Suppliers billing purchases11,902
Referring clinicians13,329
Medicare beneficiaries17,695
States with claims52
Share of services in top 3 states (Texas, California, New York)24%
YearSuppliersBeneficiaries
202212,01716,818
202312,87819,005
202411,90217,695

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for J7614, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
20226,7033,023$0.06$0.04
202312,5655,135$0.04$0.03
202410,8484,543$0.05$0.04

States with the most J7614 services (2024)

StateServicesAvg. paid
California1,403$0.03
Texas1,333$0.04
New York1,049$0.04
Colorado908$0.04
Georgia834$0.04

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers900Clinical: Data
practitioner claims10Prescribing Information

Medicare policy articles for this code

Covered diagnoses (215 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

ICD-10-CMDiagnosisArticles listing it
A15.0Tuberculosis of lung1
A22.1Pulmonary anthrax1
A37.01Whooping cough due to Bordetella pertussis with pneumonia1
A37.11Whooping cough due to Bordetella parapertussis with pneumonia1
A37.81Whooping cough due to other Bordetella species with pneumonia1
A37.91Whooping cough, unspecified species with pneumonia1
A48.1Legionnaires' disease1
B20Human immunodeficiency virus [HIV] disease1
B25.0Cytomegaloviral pneumonitis1
B44.0Invasive pulmonary aspergillosis1

Showing 10 of 215. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for J7614

Frequently asked questions

What is HCPCS code J7614?

J7614 is the HCPCS Level II code for levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg. Short descriptor: "Levalbuterol non-comp unit".

How much does Medicare pay for J7614?

In 2024, the average Medicare payment was $0.04 per service (average allowed $0.05).

Does Medicare cover J7614?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Which diagnoses support coverage for J7614?

Medicare policy articles that cite J7614 list 215 covered ICD-10-CM diagnosis codes across 1 article. The most cited include A15.0 (Tuberculosis of lung), A22.1 (Pulmonary anthrax), A37.01 (Whooping cough due to Bordetella pertussis with pneumonia). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

How many units of J7614 can be billed per day?

900 on DME suppliers; 10 on practitioner claims (NCCI medically unlikely edits).

Related J76 codes

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Next steps

Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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