J7644 HCPCS code: Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram

J7644 is the HCPCS Level II code for ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram. In 2024 Medicare paid an average of $0.23 per service for J7644 across 15,115 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 279 per day on DME suppliers. Medicare volume rose 4% from 2022 to 2024 (14,585 to 15,115 services). In 2024, 10,940 suppliers billed Medicare for J7644 (purchases), serving 21,438 beneficiaries; Texas, California, Florida accounted for 25% of services.

Code details

FieldValue
SectionJ codes — Drugs administered other than oral method
Coverage codeD — Special coverage instructions apply
Pricing indicator51 — Drug or biological (priced per ASP/average sales price rules)
BETOS categoryD1G — Drugs administered through DME
Added2000-01-01
Last action effective2007-01-01

Who bills J7644 (2024)

MeasureValue
Suppliers billing rentals—
Suppliers billing purchases10,940
Referring clinicians16,044
Medicare beneficiaries21,438
States with claims52
Share of services in top 3 states (Texas, California, Florida)25%
YearSuppliersBeneficiaries
202213,60929,226
202314,43631,758
202410,94021,438

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

Medicare utilization for J7644, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
202214,58511,041$0.19$0.14
202316,75913,409$0.26$0.18
202415,11512,642$0.33$0.23

States with the most J7644 services (2024)

StateServicesAvg. paid
Florida1,844$0.24
California1,510$0.21
Texas1,152$0.23
Maryland1,012$0.24
New York995$0.25

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers279Published Contractor Policy
practitioner claims3Clinical: Data

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 J7644

Frequently asked questions

What is HCPCS code J7644?

J7644 is the HCPCS Level II code for ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram. Short descriptor: "Ipratropium bromide non-comp".

How much does Medicare pay for J7644?

In 2024, the average Medicare payment was $0.23 per service (average allowed $0.33).

Does Medicare cover J7644?

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

Which diagnoses support coverage for J7644?

Medicare policy articles that cite J7644 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 J7644 can be billed per day?

279 on DME suppliers; 3 on practitioner claims (NCCI medically unlikely edits).

Related J76 codes

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Next steps

Sources: CMS HCPCS Level II release October 2025; 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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