HCPCS drug code · CMS crosswalk
Sinuva J-Code / HCPCS Code
In short
Sinuva is billed under HCPCS J7402 — Mometasone furoate sinus implant, (sinuva), 10 micrograms. One billing unit is 10 mcg. CMS's crosswalk lists 1 Sinuva NDC under this code.
Reference
- J7402
- Mometasone furoate sinus implant, (sinuva), 10 microgramsBilling unit: 10 mcg
- Labelers
- Intersect ENT, INC.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$11.345
Per10 mcg
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
Sinuva units and claim line
Enter the dose given to get the J7402 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Sinuva 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 10599-0003-01 | J7402 | Intersect ENT, INC. | 1 | 135 |
Sinuva: common questions
- What is the J-code for Sinuva?
- Sinuva is billed under HCPCS J7402 — Mometasone furoate sinus implant, (sinuva), 10 micrograms. One billing unit is 10 mcg. CMS's crosswalk lists 1 Sinuva NDC under this code.
- How many J7402 billing units are in a package of Sinuva?
- CMS lists 135 billing units per package, depending on the NDC, where one unit is 10 mcg. Units to report are based on the dose given, not the package.
- Is J7402 a CPT code?
- No. J7402 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.