Search by Drug Name, NDC or Jcode

    Internal Navigation

    HCPCS Details

    HCPC J7321
    Short Description Hyalgan supartz visco-3 dose
    Long Description Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code P
    Type of service 1
    Effective date 2024-01-01
    Date Added 2008-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    50016095721 J7321 Hyalgan supartz visco-3 dose VISCO-3 ZIMMER BIOMET PER DOSE 2.5 3 1 3
    89122072412 J7321 Hyalgan supartz visco-3 dose HYALGAN FIDIA PHARMA USA INC per dose 2 1 1 1
    89122072420 J7321 Hyalgan supartz visco-3 dose HYALGAN FIDIA PHARMA USA INC per dose 2 1 1 1
    89130444401 J7321 Hyalgan supartz visco-3 dose SUPARTZ FX BIOVENTUS LLC per dose 2.5 1 1 1
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].