In short

Budesonide is billed under HCPCS J7626 — Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg. One billing unit is up to 0.50 mg. CMS's crosswalk lists 35 Budesonide NDCs under this code.

J7626 code details

Reference

J7626
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mgBilling unit: up to 0.50 mg
Labelers
A-S Medication Solutions; American Health Packaging; Chartwell; Cipla USA, Inc.; Exelan Pharmaceuticals, Inc.; Impax Laboratories, LLC; Lupin Pharmaceuticals, Inc.; Nephron SC, Inc.and 5 more

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.923
Per0.5 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Budesonide units and claim line

Enter the dose given to get the J7626 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Budesonide NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Budesonide NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00093-6815-55J7626Teva Pharmaceuticals USA, Inc.30 × 230
00093-6815-73J7626Teva Pharmaceuticals USA, Inc.30 × 230
00093-6816-55J7626Teva Pharmaceuticals USA, Inc.30 × 230
00093-6816-73J7626Teva Pharmaceuticals USA, Inc.30 × 230
00093-6817-73J7626Teva Pharmaceuticals USA, Inc.30 × 260
00115-1687-74J7626Impax Laboratories, LLC30 × 230
00115-1689-74J7626Impax Laboratories, LLC30 × 230
00487-9601-01J7626Nephron SC, Inc.30 × 230
00487-9601-30J7626Nephron SC, Inc.30 × 230
00487-9701-01J7626Nephron SC, Inc.30 × 230
00487-9701-30J7626Nephron SC, Inc.30 × 230
16714-0020-30J7626Northstar RxLLC30 × 260
47335-0631-49J7626Sun Pharmaceutical Global FZE.30 × 230
47335-0632-49J7626Sun Pharmaceutical Global FZE.30 × 230
47335-0633-49J7626Sun Pharmaceutical Global FZE.30 × 260
50090-1467-00J7626A-S Medication Solutions30 × 230
50090-6586-00J7626A-S Medication Solutions30 × 230
50090-6590-00J7626A-S Medication Solutions30 × 230
50090-7126-00J7626A-S Medication Solutions30 × 230
50090-7173-00J7626A-S Medication Solutions30 × 230
60687-0524-83J7626American Health Packaging30 × 230
62135-0822-84J7626Chartwell30 × 230
62135-0823-84J7626Chartwell30 × 230
64980-0638-03J7626Rising Pharma Holdings, Inc.30 × 230
64980-0639-03J7626Rising Pharma Holdings, Inc.30 × 230
68180-0984-30J7626Lupin Pharmaceuticals, Inc.30 × 230
69097-0318-53J7626Cipla USA, Inc.30 × 230
69097-0318-87J7626Cipla USA, Inc.30 × 230
69097-0319-53J7626Cipla USA, Inc.30 × 230
69097-0319-87J7626Cipla USA, Inc.30 × 230
69097-0321-53J7626Cipla USA, Inc.30 × 260
69097-0321-87J7626Cipla USA, Inc.30 × 260
76204-0018-01J7626Ritedose Pharmaceuticals, LLC30 × 230
76282-0640-38J7626Exelan Pharmaceuticals, Inc.30 × 230
76282-0641-38J7626Exelan Pharmaceuticals, Inc.30 × 230

Budesonide: common questions

What is the J-code for Budesonide?
Budesonide is billed under HCPCS J7626 — Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg. One billing unit is up to 0.50 mg. CMS's crosswalk lists 35 Budesonide NDCs under this code.
How many J7626 billing units are in a package of Budesonide?
CMS lists 30 to 60 billing units per package, depending on the NDC, where one unit is up to 0.50 mg. Units to report are based on the dose given, not the package.
Is J7626 a CPT code?
No. J7626 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

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