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Wiki New Synvisc Code
- Thread starter efuhrmann
- Start date
twosmek
Guest
I got information from our synvisc rep. It lists the following:
Synvisc ONE
HCPCS Code: J7325
Units: 48
Synvisc
HCPCS Code: J7325
Units: 16
The code is per MG
This code is replacing J7322 for Synvisc and no longer using teh misc code J3490 for SynviscOne. This is CMS so you will have to check with other carriers.
Synvisc ONE
HCPCS Code: J7325
Units: 48
Synvisc
HCPCS Code: J7325
Units: 16
The code is per MG
This code is replacing J7322 for Synvisc and no longer using teh misc code J3490 for SynviscOne. This is CMS so you will have to check with other carriers.
IHAGEE9
New
Wouldn't it be 32 units since each synvisc injection has 2ml and one ml=16mg?
kjstearns
Guru
I have the same information as Tina. Synvisc- 16 units, Synvisc-One, 48 units.
~Kirsten, CPC
~Kirsten, CPC
hlmcintyre
Guest
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But Blue Shield of MA has a max of 2 units for this code, so how do you bill for the proper dosage? The 16 units works fine for Medicare - haven't had a Synvisc One yet.
Heidi M.
Heidi M.
twosmek
Guest
they may not be using the new code. I would call them and double check. They may still want the old code to be used or they need to update.
hlmcintyre
Guest
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Tina,
The J7322 code has been deleted, so they can't want the old code. When I spoke with Provider Services, they said 'there's a 2 unit max for this code'. I don't think they want 8 lines with 51 on lines 2 thur 8 - you'd have to send 2 claims. I'm about ready to pull my hair out on this one!
Heidi
The J7322 code has been deleted, so they can't want the old code. When I spoke with Provider Services, they said 'there's a 2 unit max for this code'. I don't think they want 8 lines with 51 on lines 2 thur 8 - you'd have to send 2 claims. I'm about ready to pull my hair out on this one!
Heidi
hlmcintyre
Guest
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BSMA updated their edits
It took contacting our Provider Rep, but I got the Synvisc & BSMA resolved. They had to update their edits to allow for the correct 16 or 48 units. One phone call to adjust all the claims in question and now all are back in process.
It took contacting our Provider Rep, but I got the Synvisc & BSMA resolved. They had to update their edits to allow for the correct 16 or 48 units. One phone call to adjust all the claims in question and now all are back in process.
twosmek
Guest
glad you got it all figured out.