Question 1

What is HCPCS code J7324?

Accepted Answer

HCPCS code J7324 is "Orthovisc inj per dose". Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

Question 2

What category is J7324 in?

Accepted Answer

J7324 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J7324?

Accepted Answer

Use J7324 when billing for orthovisc inj per dose. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

What ICD-10 codes are commonly used with J7324?

Accepted Answer

Common ICD-10 diagnosis codes used with J7324 include: M17.0 (Bilateral primary osteoarthritis of knee), M17.11 (Unilateral primary osteoarthritis, right knee), M17.12 (Unilateral primary osteoarthritis, left knee), M17.2 (Bilateral post-traumatic osteoarthritis of knee). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is J7324 covered by Medicare?

Accepted Answer

Coverage for J7324 (Orthovisc inj per dose) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 6

What documentation is required for J7324?

Accepted Answer

Documentation for J7324 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).