WebJ7325 Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg J7326 Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose ... • Added the new 2024 HCPCS codes J7318 and J7329 10/21/2024 • Clarification: Medical Policy PG0204 Viscosupplementation for Osteoarthritis of the Knee ... WebOct 3, 2024 · *Synvisc-one/Hyalan. N/A. 48 mg. One time/single course of treatment per knee *Gel-One® N/A. 30 mg. One time/single course of treatment per knee *Monovisc™ N/A. 88 mg. One time/single course of treatment per knee. GenVisc 850® 25 mg/1. 75 to 125 mg. 3 to 5 weeks/single course of treatment per knee. Gel-Syn™ 16.8 mg/1. 50.4 …
Intraarticular Hyaluronic Acid Derivatives - Cigna
WebOne are non-preferred. Monovisc and Synvisc-One are preferred. Multi-injection: Euflexxa, Gelsyn-3, GenVisc, Hyalgan, Hymovis, Supartz FX, Trivisc, and Visco-3 are non-preferred. Orthovisc and Synvisc are preferred. (All fields must be completed and legible for precertification review.) Please indicate: Start of treatment: Start date WebSynvisc-One® Manufacturer: Genzyme: Country of Origin: Unknown: Alternate Manufacturer Number: 3286200: Application: Osteoarthritis Agent: Container Type: … credit card for 500 credit
Billing and Coding Guidelines for Intra-articular …
WebFeb 25, 2024 · Coverage for GenVisc 850, Hyalgan, Supartz, Visco-3, Hymovis, Orthovisc, Synvisc or Synvisc-One, Gel-One, Monovisc, Triluron, TriVisc, or Synojoynt is contingent on . Medical ... HCPCS Code Description : J3490 Unclassified drugs J7318 Hyaluronan or derivative, Durolane, for intra-articular injection, 1 mg : WebJun 14, 2024 · CLINICAL PHARMACOLOGY Pivotal Clinical Trial Study Design. To determine the safety and effectiveness of a single injection regimen of Synvisc-One in the reduction of the pain score in osteoarthritis of the knee, a prospective, randomized, doubleblind, 2-arm (parallel group) clinical trial in 21 centers in six European countries … WebDec 16, 2024 · Synvisc-One. Generic name: hylan G-F 20 [ HI-lan-G-F-20 ] Brand names: Synvisc, Synvisc-One Drug class: Viscosupplementation agents. Medically reviewed by … credit card for 40000 salary