HCPCS Level II drug code
J7631 — Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams
In short
J7631 is the HCPCS Level II code for cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams. CMS assigns NDCs for Cromolyn Sodium to it. One billing unit is 10 milligrams. The Medicare Part B payment limit is $0.385 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams
- Short descriptor
- Cromolyn sodium noncomp unit
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2008
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
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
Units and claim line
Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
NDCs billed under J7631
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J7631 for Cromolyn Sodium. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Cromolyn Sodium | 00172-6406-49 | Ivax Pharmaceuticals, Inc. | 60 × 2 | 120 |
| Cromolyn Sodium | 76204-0028-60 | Ritedose Pharmaceuticals, LLC | 60 × 2 | 120 |
J7631: common questions
- Is J7631 a CPT code?
- No. J7631 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
- What NDCs are billed under J7631?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J7631, for Cromolyn Sodium. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J7631?
- $0.385 per 10 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
- What is one billing unit of J7631?
- One unit of J7631 is 10 milligrams, as stated in the code's descriptor. Units to report = dose given ÷ 10 milligrams. J-code billing units.