Billing Coding Knee Injection Hyalgan, Supartz, Visco, Genvisc, Synvisc - J7325, J7321, J7328 206107/13/2022 BILLING CODING KNEE INJECTION HYALGAN, SUPARTZ, VISCO, GENVISC, SYNVISC - J7325, J7321, J7328 20610 To all my blog readers that still are confused on how to properly bill, code and report these services. BILLING CODING KNEE INJECTION HYALGAN, SUPARTZ, VISCO, GENVISC, SYNVISC - J7325, J7321, J7328 20610 and more J-codes! HCPCS Code Billing Unit Drug Name(s)Dosing frequency per series (per knee) *Dose (per knee) *Units per dose (per knee) The following HCPCS codes are per dose codes: J7321 per dose Hyalgan 3 to 5 weekly injections 20 mg once weekly ( 1 unit per knee ) J7321 per dose Supartz 3 to 5 weekly injections 25 mg once weekly ( 1 unit per knee ) J7321 per dose Visco-3 3 weekly injections 25 mg once weekly ( 1 unit per knee ) J7323 per dose Euflexxa 3 weekly injections 20 mg once weekly ( 1 unit per knee ) J7324 per dose Orthovisc 3 to 4 weekly injections 30 mg once weekly ( 1 unit per knee ) J7326 per dose Gel-One Single injection** 30 mg x 1 dose ( 1 unit per knee ) J7327 per dose Monovisc Single injection** 88 mg x 1 dose ( 1 unit per knee ) HCPCS Code Billing Unit Drug Name(s)Dosing frequency per series (per knee) *Dose (per knee) *Units per dose (per knee) The following HCPCS codes are per mg codes (not per dose): J7328 per 0.1 Gelsyn-3 3 weekly injections 16.8 mg once ( 168 units per knee ) J7329 per 1 mg TriVisc 3 weekly injections 25 mg once weekly( 25 units per knee ) J7318 per 1 mg Durolane Single Injection** 60 mg x 1 dose ( 60 units per knee ) J7320 per 1 mg Genvisc 850 3 to 5 weekly injections 25 mg once weekly ( 25 units per knee ) J7325 per 1 mg Synvisc 3 weekly injections 16 mg once weekly ( 16 units per knee ) J7325 per 1 mg Synvisc-One Single injection** 48 mg x 1 dose ( 48 units per knee ) J7322 per 1 mg Hymovis 2 weekly injections 24 mg once weekly ( 24 units per knee ) J7331 per 1 mg Synojoynt 3 weekly injections 20 mg once weekly ( 20 units per knee ) J7332 per 1 mg Triluron 3 weekly injections 20 mg once weekly ( 20 units per knee ) These injections are crossing over to primary: OA (eg. M17.0) and secondary: Knee Joint Pain (M25.561, M25.562) CPT Codes: 20610 (unilateral), add 77002 if you perform under Fluoroscopy 20611 (unilateral) - if you perform under ultrasound If the injection is for Therapy. Make sure you document your notes as follows (example): 1/3 - 1st Injection 2/3 - 2nd Injection (append modifier EJ) for the drug code 3/3 - 3rd Injection (append modifier EJ) for the drug code Reference Source: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55036&ver=59
Billing and Coding: Hyaluronan Acid Therapies for Osteoarthritis of the Knee CPT 2022. CPT is a trademark and owned by the AMA - American Medical Association.
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Ms. Pinky Maniri-Pescasio, MSC, CSPPM, CRCR, CSBI, CSPR, CSAF is the Founder of GoHealthcare Consulting. She is a National Speaker on Practice Reimbursement and a Physician Advocate. She has served the Medical Practice Industry for more than 25 years as a Professional Medical Practice Consultant. Current HFMA Professional Expertise Credentials: HFMA Certified Specialist in Physician Practice Management (CSPPM) HFMA Certified Specialist in Revenue Cycle Management (CRCR) HFMA Certified Specialist Payment & Reimbursement (CSPR) HFMA Certified Specialist in Business Intelligence (CSBI) search hereArchives
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