Asked by: Kathleen Ehrenthalermedical health ear nose and throat conditions
How many units do you bill for Synvisc One?
Last Updated: 7th May, 2021
|Synvisc-One and SYNVISC Billing Codes|
|J7325||For Synvisc-One and SYNVISC, per 1mg|
|Synvisc-One||48 in Units field of CMS-1500 Claim form or electronic equivalent|
|SYNVISC||16 in Units field of CMS-1500 Claim form or electronic equivalent|
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In respect to this, how many units do you bill for Synvisc?
All settings should bill Synvisc-One as 3 units of code J7322.
Secondly, what is the CPT code for Synvisc One? HCPCS Code J7325 J7325 is a valid 2020 HCPCS code for Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg or just “Synvisc or synvisc-one” for short, used in Medical care.
Likewise, how much is a Synvisc One shot?
The cost for Synvisc-One intra-articular solution (48 mg/6 mL) is around $1,062 for a supply of 6 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
Does Medicare pay for Synvisc One?
Within the hospital outpatient department, Synvisc-One and SYNVISC are covered as Separately Covered Outpatient Drugs (SCODs), which are paid at a rate of ASP + 4.3%. Of this allowable rate, Medicare will reimburse 80%, and the patient or patient's secondary insurer is responsible for the remaining 20% coinsurance.