tci Part B Insider - 2009 Issue 40

HCPCS 2010: CMS Debuts New Synvisc Code

Plus: CMS makes key changes to ABN modifiers. Hot on the heels of the new CPT codes, CMS follows suit by publishing the 2010 HCPCS code set, posted on the CMS Web site on Nov. 3. You'll find scores of changes, with the following a small sampling if what you'll face in 2010: Synvisc: HCPCS will delete existing code J7322 (Hyaluronan or derivative, Synvisc, for intra-articular injection, per dose) and introduce J7325 (Hyaluronan or derivative, Synvisc or Synvisc-One, for intraarticular injection, 1 mg). This change puzzles some coders, since the fees for Synvisc are vastly different than the fees...

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