J7401 was retired on Mar 31, 2021

CMS ended J7401 after Mar 31, 2021. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeJ7401
Billing unit10 micrograms
Descriptor
Mometasone furoate sinus implant, 10 micrograms
Short descriptor
Mometasone furoate sinus imp
Code set
HCPCS Level II, maintained by CMS
Effective
Apr 1, 2021

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

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Med-Code hasn’t mapped J7401 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.

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J7401: common questions

Is J7401 a CPT code?
No. J7401 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 J7401?
One unit of J7401 is 10 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 10 micrograms. J-code billing units.

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