HCPCS Level II › J codes J7648 Isoetharine non-comp conIsoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 0 units per day (clinical), rationale: Drug discontinued Outpatient hospital: max 0 units per day (clinical), rationale: Drug discontinued DME supplier: max 0 units per day (clinical), rationale: Drug discontinued Medicare pricing for J7648 Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for J7648 Payer coverage policies that name J7648 J7648 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Nebulizers (0065) covered if criteria are met Mar 18, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in IN.
CO: $3.25 (health_first_colorado), effective Jul 1, 2026 KS: $0.16 (default), effective Oct 12, 2000 VA: $0.14 (medical), effective Jul 1, 2005 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $0.14 (professional_administered_drugs), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.