In short

Pulmicort 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 3 Pulmicort 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
AstraZeneca Pharmaceuticals LP

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

Pulmicort 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.

Pulmicort 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.

Pulmicort NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00186-1988-04J7626AstraZeneca Pharmaceuticals LP30 × 230
00186-1989-04J7626AstraZeneca Pharmaceuticals LP30 × 230
00186-1990-04J7626AstraZeneca Pharmaceuticals LP30 × 260

Pulmicort: common questions

What is the J-code for Pulmicort?
Pulmicort 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 3 Pulmicort NDCs under this code.
How many J7626 billing units are in a package of Pulmicort?
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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