HCPCS Code Details - J7402

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7402
Description

Long description:
Mometasone furoate sinus implant, (sinuva), 10 micrograms

Short description:
Mometasone sinus sinuva

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 Apr 01, 2021 - 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 Apr 01, 2021
Date added Added Apr 01, 2021
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 - J7402

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2024 - June 30, 2024 10 MCG 11.345 - - - - - -
January 1, 2024 - March 31, 2024 10 MCG 11.345 - - - - - -
October 1, 2023 - December 31, 2023 10 MCG 11.345 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 10 MCG 11.345 20% - - - - -
April 1, 2023 - June 30, 2023 10 MCG 11.345 20% - - - - -

See also

  • HCPCS C9122 · Mometasone furoate sinus implant, 10 micrograms (sinuva)

  • HCPCS J7401 · Mometasone furoate sinus implant, 10 micrograms

  • HCPCS S1090 · Mometasone furoate sinus implant, 370 micrograms

  • HCPCS J7500 · Azathioprine, oral, 50 mg


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”