HCPCS drug code · CMS crosswalk
Pulmozyme J-Code / HCPCS Code
In short
Pulmozyme is billed under HCPCS J7639 — Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram. One billing unit is 1 mg. CMS's crosswalk lists 1 Pulmozyme NDC under this code.
Reference
- J7639
- Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligramBilling unit: 1 mg
- Labelers
- Genentech, Inc.
Medicare Part B payment limit
CMS ASP fileEffective 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
Pulmozyme units and claim line
Enter the dose given to get the J7639 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Pulmozyme 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 50242-0100-40 | J7639 | Genentech, Inc. | 30 × 2.5 | 75 |
Pulmozyme: common questions
- What is the J-code for Pulmozyme?
- Pulmozyme is billed under HCPCS J7639 — Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram. One billing unit is 1 mg. CMS's crosswalk lists 1 Pulmozyme NDC under this code.
- How many J7639 billing units are in a package of Pulmozyme?
- CMS lists 75 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J7639 a CPT code?
- No. J7639 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.