HCPCS Level II drug code
J7294 — Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each
In short
J7294 is the HCPCS Level II code for segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each. One billing unit is 0.013mg per 24 hours; yearly vaginal system.
Code
CMS HCPCS file- Descriptor
- Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each
- Short descriptor
- Seg acet and eth estr yearly
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Oct 1, 2021
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Units = dose given ÷ 0.013mg per 24 hours; yearly vaginal system. For example, 1.3 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Find the NDC
Med-Code hasn’t mapped J7294 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.
Search NDCs for Segesterone acetate and ethinyl estradiol 0.15mg
J7294: common questions
- Is J7294 a CPT code?
- No. J7294 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
- What is one billing unit of J7294?
- One unit of J7294 is 0.013mg per 24 hours; yearly vaginal system, as stated in the code's descriptor. Units to report = dose given ÷ 0.013mg per 24 hours; yearly vaginal system. J-code billing units.