SYNVISC Reimbursement Billing Codes
| Synvisc-One and SYNVISC Billing Codes |
|---|
| ICD-10-CM |
| M17.0 | Bilateral primary osteoarthritis of knee |
| M17.10 | Unilateral primary osteoarthritis, unspecified knee |
| M17.11 | Unilateral primary osteoarthritis, right knee |
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How do you bill Synvisc injections?
All settings should bill Synvisc-One as 3 units of code J7322.
What is the NDC code for Synvisc?
HOSPITAL OUTPATIENT
| Name of Drug: | Synvisc-One |
|---|
| Dosage: | 48mg |
| NDC number: | 58468-0090-03 |
| HCPCS Code: | J7325 |
What is a Synvisc knee injection?
SYNVISC is a viscosupplement injection that supplements the fluid in your knee to help lubricate and cushion the joint, and can provide up to six months of osteoarthritis knee pain relief with three injections.
What is the CPT code for hyaluronic acid injections?
Group 1
| Code | Description |
|---|
| J7325 | HYALURONAN OR DERIVATIVE, SYNVISC OR SYNVISC-ONE, FOR INTRA-ARTICULAR INJECTION, 1 MG |
| J7326 | HYALURONAN OR DERIVATIVE, GEL-ONE, FOR INTRA-ARTICULAR INJECTION, PER DOSE |
| J7327 | HYALURONAN OR DERIVATIVE, MONOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE |
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What is the CPT code for Synvisc?
SYNVISC Reimbursement Billing Codes
| Synvisc-One and SYNVISC Billing Codes |
|---|
| J7325 | For Synvisc-One and SYNVISC, per 1mg |
| Synvisc-One | 48 in Units field of CMS-1500 Claim form or electronic equivalent |
| SYNVISC | 16 in Units field of CMS-1500 Claim form or electronic equivalent |
| CPT |
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What is procedure code J3301?
HCPCS code J3301, “Injection, triamcinolone acetonide, not otherwise specified, 10 mg” can be used for Kenalog- 10, Kenalog-40, Tri-Kort, Kenaject-40, Cenacort A-40, Triam- A, and Trilog.Dec 1, 2014
What is the generic name for Synvisc?
Hylan G-F 20 is the generic name for Synvisc. The generic name is hylan G-F 20. It is a gel-like substance made up of two hyaluronan polymers (hylan A and B) that come from chicken combs. Hyaluronan naturally occurs in our joints, and it functions as a cushion for the joint.
What is the difference between Synvisc and Euflexxa?
Both Euflexxa and Synvisc consist of a three-injection treatment course. However, Synvisc One only requires one injection. Both Euflexxa and Synvisc are effective at treating the pain and decreased mobility that accompany knee osteoarthritis.May 1, 2021
Are monovisc and Synvisc the same?
Are Monovisc and Synvisc the Same Thing? Monovisc (high molecular weight hyaluronan injection) and Synvisc (hylan G-F 20) are viscosupplements used to treat pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative non-pharmacologic therapy or simple analgesics.
What is CPT code J7323?
HCPCS code J7323 for Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose as maintained by CMS falls under Miscellaneous Drugs .
Does Medicare cover hyaluronic acid injections?
Yes, Medicare will cover knee injections that approved by the FDA. This includes hyaluronan injections. Medicare does require that the doctor took x-rays to show osteoarthritis in the knee. The coverage is good for one injection every 6 months.Sep 29, 2021
How many mg are in Synvisc-One?
Each 10 mL syringe of Synvisc-One combines the three 2-mL doses (16 mg each) of a complete SYNVISC treatment regimen (48 mg). Each Synvisc-One 10-mL syringe contains: Hylan polymers (hylan A + hylan B) 48 mg.