HCPCS Level II drug code
J7295 — Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each
In short
J7295 is the HCPCS Level II code for ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each. One billing unit is 0.12mg per 24 hours; monthly vaginal ring.
Code
CMS HCPCS fileHCPCS codeJ7295
Billing unit0.12mg per 24 hours; monthly vaginal ring
- Descriptor
- Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each
- Short descriptor
- Eth estr and eton monthly
- 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 ÷ 0.12mg per 24 hours; monthly vaginal ring. For example, 12 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 J7295 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.
J7295: common questions
- Is J7295 a CPT code?
- No. J7295 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 J7295?
- One unit of J7295 is 0.12mg per 24 hours; monthly vaginal ring, as stated in the code's descriptor. Units to report = dose given ÷ 0.12mg per 24 hours; monthly vaginal ring. J-code billing units.