Procedure Code J7613 denied change to J7603

Starting on January 1st 2008 you may have seen denials on the J7613 procedure code. If you modify that code to reflect as J7603 and rebill the claim you will get paid out.

As of January 1st 2008 the following codes have been deleted:

J7611 - Albuterol, noncompounded, concentrated form, 1 mg
Other names: AccuNeb, Proventil, Respirol, Ventolin

J7612 - Levalbuteral, noncompounded, concentrated form, o.5 mg
Other names: Xopenex HFA

J7613 - Albuterol, noncompounded, unit dose, 1 mg
Other names: AccuNeb, Proventil, Respirol, Ventolin

J7614 - Levalbuterol, noncompounded, unit does, 0.5 mg
Other name: Xopenex

The code to use in these deleted codes place as of Jan 1st 2008:

J7602 - Albuterol, inhalation solution, non-compounded, unit dose, 1 mg (Albuterol) or per0.5 mg (Levalbuterol)

J7603 - Albuterol, inhalation solution, non-compounded, unit dose, 1 mg (Albuterol) or per 0.5 (Levalbuterol)

Additional codes added for Nebulizers Added Jan 1st 2008

J7604 - Acetylcysteine, inhalation solution, compounded product, administered through DME, unit dose form, per gram

J7605 - Arformoterol, inhalation solution, FDA approved final product, non-compounded, administered through DME, unit dose form, 15 micrograms

J7632 - Cromolyn sodium, inhalation solution, compounded product, administered through DME, unit dose form, per 10 milligrams

J7676 - Pentamidine isethionate, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg

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