In short

Orthovisc is billed under HCPCS J7324 — Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose. One billing unit is per dose. CMS's crosswalk lists 1 Orthovisc NDC under this code.

J7324 code details

Reference

J7324
Hyaluronan or derivative, orthovisc, for intra-articular injection, per doseBilling unit: per dose
Labelers
DePuy Synthes Sales, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$116.793
Perper dose
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Orthovisc units and claim line

Enter the dose given to get the J7324 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Orthovisc NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Orthovisc NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
59676-0360-01J7324DePuy Synthes Sales, Inc.21

Orthovisc: common questions

What is the J-code for Orthovisc?
Orthovisc is billed under HCPCS J7324 — Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose. One billing unit is per dose. CMS's crosswalk lists 1 Orthovisc NDC under this code.
How many J7324 billing units are in a package of Orthovisc?
CMS lists 1 billing units per package, depending on the NDC, where one unit is per dose. Units to report are based on the dose given, not the package.
Is J7324 a CPT code?
No. J7324 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

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