Synvisc one cpt code

Blue Cross Blue Shield of Minnesota Medical Policy

Search (enter keyword, CPT or HCPCS code, policy number, etc.) Please enter a ... Intra-articular hyaluronan injections (Synvisc®, Synvisc-One®, and Euflexxa ...

See CPT/HCPCS Code section below. Viscosupplementation for the ... J7325, Hyaluronan or derivative, synvisc or synvisc one, for intra articular injection, 1 mg.

Synvisc-One is indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative ...

J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ... HCPCS/CPT code(s) may be subject to National Correct Coding ...

HCPCS Code: J7325. HCPCS Code Description: Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg.

CP.PHAR.05 Hyaluronate derivatives

Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 ... code J7321; removed Supartz as the Medispan is obsolete and ...

Synvisc® (hylan G-F 20), Synvisc-One® (hylan G-F 20), Euflexxa® (sodium ... Internal Medical Policy Committee 3-17-2024 Removed code J7333 from policy effective 4 ...

Prior approval is required for HCPCS Codes J7318, J7320, J7321, J7322 ... Synvisc-One® injection [prescribing information]. Ridgefield, NJ ...

New code effective 1/1/2023. 9/1/2024. Premera Blue Cross ... Synvisc/Synvisc-One and Euflexxa first, which don't require prior authorization.

Please note that these drugs may require Prior Authorization per the Formulary. HCPCS Code ... Gel-One (SYNVISC, SYNVISC-ONE. PREFERRED). Hyaluronan or derivative.

Medical_Policy_Bulletin

Intra-articular hyaluronan injections should be reported under code 20610 ... Synvisc-One - a single intra-articular injection; Euflexxa - one injection ...

prescribed (instead of for a range of NDCs within HCPCS/CPT codes). NDC ... Synvisc-One is a registered trademark of Genzyme Corporation. DePuy. Synthes ...

CPT Code. Code Description. C9028. INJ INOTUZUMAB OZOGAMICIN. C9031. LUTETIUM LU ... SYNVISC OR SYNVISC-ONE. J7326. GEL-ONE. J7327. MONOVISC INJ PER DOSE. J7328.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ... A = Not applicable as HCPCS priced under one methodology. HCPCS ASC ...

CPT© Procedure Codes 20610 Arthrocentesis, aspiration and/or injections; major joint or bursa. 76942. Ultrasonic guidance for needle placement, imaging ...

CPT Code Short Description Fee* Effective 11.15.2024 ...

Synvisc or Synvisc-One. $13.39. J7326. Gel-One. $616.21. J7327. Monovisc inj per dose. $962.76. J7336. Capsaicin 8% patch. $3.06. J7500.

Administration code(s) (CPT):. Address: City: State: ZIP: Phone: Fax: TIN: PIN ... Synvisc-One are preferred. Multi-injection: Euflexxa, Gelsyn-3, GenVisc ...

Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 ... HCPCS codes added. Specialist reviewed. 04.17. Tramadol ...

No HCPCS code as patient must be admitted, per. Steven Butler, Strategic Account ... or Synvisc One, for intra-articluar injection, per dose. Intra-artic- ular.

Synvisc -same drug, but less concentrated is administered over three different visits. So at each visit, you will report 20610, J7325 x 16 units. Report this ...

HCPCS Medication Codes Requiring Prior Authorization

Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug ... Hyaluronan or derivative, Synvisc or Synvisc-one, for intra-articular.

Euflexxa® and Synvisc/Synvisc One® injections may be considered medically necessary for the treatment ... CPT Code J7318 added to Billing/Coding section. 2/16/06 ...

For complete CPT/HCPCS code listing, please see Online Prior Authorization Tool on Health Plan website at ... SYNVISC OR SYNVISC-ONE. STEP THERAPY.

Professional and outpatient pharmacy claims submitted for the above listed HCPCS codes/products with a date of service after Oct. 24, 2024 ...

Note: 1) This list of codes may not be all-inclusive. ... Hyaluronan or derivative, Synvisc or Synvisc‐One, for intra‐ articular injection, 1 mg.