No. J7402 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.

What NDCs are billed under J7402?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J7402, for Sinuva. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J7402?

$11.345 per 10 mcg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.

What is one billing unit of J7402?

One unit of J7402 is 10 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 10 micrograms.

J7402 J-Code: Sinuva (mometasone furoate sinus implant)

In short

J7402 is the HCPCS Level II code for mometasone furoate sinus implant, (sinuva), 10 micrograms. CMS assigns NDCs for Sinuva to it. One billing unit is 10 micrograms. The Medicare Part B payment limit is $11.345 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ7402

Billing unit10 micrograms

Descriptor: Mometasone furoate sinus implant, (sinuva), 10 micrograms
Short descriptor: Mometasone sinus sinuva
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.

Medicare Part B payment limit

CMS ASP file

Payment 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

Units and claim line

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

HCPCS units

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the units to build the claim line.

NDCs billed under J7402

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J7402 for Sinuva. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7402 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Sinuva	10599-0003-01	Intersect ENT, INC.	1	135

J7402: common questions

Is J7402 a CPT code?: No. J7402 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 NDCs are billed under J7402?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J7402, for Sinuva. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7402?: $11.345 per 10 mcg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J7402?: One unit of J7402 is 10 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 10 micrograms. J-code billing units.

J7402 — Mometasone furoate sinus implant, (sinuva), 10 micrograms