J7642 HCPCS - GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGRAM

Code Information

HCPCS Code: J7642

Sequence Number: 0010

Short Description: Glycopyrrolate comp con

Long Description: Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

Code Added Date: 1/1/2000

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2007

Classification: Drugs Administered Other Than Oral Method, Chemotherapy Drugs

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: D1G - Drugs Administered through DME
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
  • P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

Pricing Indicator Code:
  • 51 - Drugs
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: D - Special coverage instructions apply

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code J7642
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
      HCPCS Short Description Glycopyrrolate comp con
      HCPCS Pricing Indicator Code 1 51 - Drugs
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS Processing Note Number 0135
      HCPCS Berenson-Eggers Type Of Service Code D1G - Drugs Administered through DME
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Type Of Service Code 2 P - Lump sum purchase of DME, prosthetics, orthotics
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2000
      HCPCS Action Effective Date 1/1/2007
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018