Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

J7318 - J7329 Hyaluronan

J7318

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg

short

Inj, durolane 1 mg

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	120.0	3 Date of Service Edit: Clinical	Prescribing Information
OPH	120.0	3 Date of Service Edit: Clinical	Prescribing Information

J7320

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg

short

Genvisc 850, inj, 1mg

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	50.0	3 Date of Service Edit: Clinical	Prescribing Information
OPH	50.0	3 Date of Service Edit: Clinical	Prescribing Information

J7321

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose

short

Hyalgan supartz visco-3 dose

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	2.0	2 Date of Service Edit: Policy	Anatomic Consideration

J7322

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

short

Hymovis injection 1 mg

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	48.0	3 Date of Service Edit: Clinical	Prescribing Information
OPH	48.0	3 Date of Service Edit: Clinical	Prescribing Information

J7323

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

short

Euflexxa inj per dose

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	2.0	2 Date of Service Edit: Policy	Anatomic Consideration

J7324

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

short

Orthovisc inj per dose

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	2.0	2 Date of Service Edit: Policy	Anatomic Consideration

J7325

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg

short

Synvisc or synvisc-one

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	96.0	3 Date of Service Edit: Clinical	Prescribing Information
OPH	96.0	3 Date of Service Edit: Clinical	Prescribing Information

J7326

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose

short

Gel-one

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	2.0	2 Date of Service Edit: Policy	Anatomic Consideration

J7327

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

short

Monovisc inj per dose

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	2.0	2 Date of Service Edit: Policy	Anatomic Consideration

J7328

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg

short

Gelsyn-3 injection 0.1 mg

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	336.0	3 Date of Service Edit: Clinical	Prescribing Information
OPH	336.0	3 Date of Service Edit: Clinical	Prescribing Information

J7329

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg

short

Inj, trivisc 1 mg

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	50.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy