HCPCS Code Details - J7321

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7321
Description

Long description:
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose

Short description:
Hyalgan supartz visco-3 dose

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, 2008 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code C - Change in long description of procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2008
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 - J7321

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2018 - December 31, 2018 per dose 85.304 - - - - - -
July 1, 2018 - September 30, 2018 per dose 83.175 - - - - - -
April 1, 2018 - June 30, 2018 per dose 88.646 - - - - - -
January 1, 2018 - March 31, 2018 per dose 85.208 - - - - - -
October 1, 2017 - December 31, 2017 per dose 87.643 - - - - - -

See also

  • HCPCS J7320 · Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg

  • HCPCS C9465 · Hyaluronan or derivative, Durolane, for intra-articular injection, per dose

  • HCPCS C9471 · Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

  • HCPCS J7322 · Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

  • HCPCS J7323 · Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

  • HCPCS J7324 · Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

  • HCPCS J7325 · Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg

  • HCPCS J7326 · Hyaluronan or derivative, gel-one, for intra-articular injection, per dose

  • HCPCS J7327 · Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

  • HCPCS J7328 · Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg

  • HCPCS Q9980 · Hyaluronan or derivative, genvisc 850, for intra-articular injection, 1 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”