HCPCS code J7325 — Synvisc or synvisc-one.
Status: Active.
Effective Jan 1, 2017.
Source: CMS HCPCS Level II.
J7325
ActiveSynvisc or synvisc-one
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2017
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0874
Drug class:
Hyaluronic Acid Injections
MUE — Medically Unlikely Edits
Maximum units of J7325 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 96 |
| Practitioner Services | 96 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 58468-0090-01 | Synvisc |
| 58468-0090-03 | SynviscOne |