HCPCS code J7402 — Mometasone sinus sinuva. Status: Active. Effective Apr 1, 2021. Source: CMS HCPCS Level II.

J7402

Active

Mometasone sinus sinuva

Mometasone furoate sinus implant, (sinuva), 10 micrograms

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9346

MUE — Medically Unlikely Edits

Maximum units of J7402 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 270
Practitioner Services 270

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
10599-0003-01 Sinuva

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2021-Q2
    Mometasone sinus sinuva