HCPCS Code Details - J7320

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7320
Description

Long description:
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg

Short description:
Genvisc 850, inj, 1mg

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
ASC payment group code Effective Jan 01, 2018 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2017
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J7320

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
1 MG 5.163 - - - - - -
January 1, 2024 - March 31, 2024 1 MG 5.744 - - - - - -
October 1, 2023 - December 31, 2023 1 MG 5.775 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 1 MG 6.105 20% - - - - -
April 1, 2023 - June 30, 2023 1 MG 7.457 20% - - - - -

See also

  • HCPCS J7318 · Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg

  • HCPCS J7321 · Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”