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Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg

HCPCS code

Medical Policies and Guidelines for Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg

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Viscosupplementation for Osteoarthritis (CG054)

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ICD10CM codes

Z30.013 - Encounter for initial prescription of injectable contraceptive
Z30.42 - Encounter for surveillance of injectable contraceptive
M12.49 - Intermittent hydrarthrosis, multiple sites
M87.129 - Osteonecrosis due to drugs, unspecified humerus
Z29.13 - Encounter for prophylactic Rho(D) immune globulin
M1A.269 - Drug-induced chronic gout, unspecified knee
M87.136 - Osteonecrosis due to drugs of unspecified ulna
M1A.259 - Drug-induced chronic gout, unspecified hip
M87.12 - Osteonecrosis due to drugs, humerus
Y64.1 - Contaminated medical or biological substance, injected or used for immunization

HCPCS codes

J7318 - Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
J7332 - Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg
J7322 - Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
J7325 - Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
J7320 - Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg
J7326 - Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
J7327 - Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
J7328 - Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg
J7324 - Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
J7323 - Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

CPT4 codes

11951 - Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc
11950 - Subcutaneous injection of filling material (eg, collagen); 1 cc or less
11952 - Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc
11900 - Injection, intralesional; up to and including 7 lesions
27370 - Injection of contrast for knee arthrography
11954 - Subcutaneous injection of filling material (eg, collagen); over 10.0 cc
90284 - Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
64400 - Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, max
11901 - Injection, intralesional; more than 7 lesions
64447 - Injection(s), anesthetic agent(s) and/or steroid; femoral nerve