WebSupartz FX J7321 12/1/2024 Commercial Health Plans: Preferred Medical Drug Program. Blue Cross ® and Blue Shield ® of Minnesota and Blue Plus ® are nonprofit independent licensees of the Blue Cross and Blue Shield Association. Pharm Comm-MD-PD-Prog (04/04/2024) Page - 2 Web1 gen 2008 · HCPCS Code J7321. - Hyalgan supartz visco-3 dose. Description. Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose. BETOS Code. O1E - Other drugs. Action Code. N - No maintenance for this code. Type of …
VISCO-3 Sodium Hyaluronate Coding Reference Guide
WebSupartz, FX J7321 Medical Synojoynt J7331 Medical Synvisc J7325 Medical Synvisc–One J7325 Medical Triluron J7332 Medical TriVisc J7329 Medical Visco-3 J7321 Medical . Policy: Requests must be supported by submission of chart notes and patient specific documentation. A. Criteria: a ... WebChoose SUPARTZ FX and set your own pace. SUPARTZ FX is one of the most trusted hyaluronic acid therapies on the market, chosen by millions of knee osteoarthritis (OA) patients and their doctors worldwide 37; … imaging cleveland
Intra-articular Injections of Hyaluronan (INJ-033) Billing and ... - CMS
WebJ7321 Hyaluronan or derivative, Hyalgan or Supartz, for intra-articular J7322 Hyaluronan or derivative, Hymovis, for intra-articular injection, ... 7/2001 Update to include coverage guidelines for Supartz. 7/2000 Reviewed 7/00, no changes in coverage were made. 10/1998 Updated to clarify that only one treatment course is allowed per knee; ... Web25 ott 2013 · Hi, does anybody knows if I can combine J7321 (Supartz) with 20610, same day same claim form and if I need to use modifiers? How many units for J7321? Thanks . mitchellde True Blue. Messages 13,505 Location Columbia, MO … WebJ7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra -articular injection, per dose (HYALGAN, SUPARTZ, VISCO -3) Auth required, refer to Medicare Part B Step Therapy . HPP’s Pre -Cert Dept. J7322 Hyaluronan or derivative, hymovis, for intra- imagine camelback middle school phoenix