Originally published May 15, 2018. Payer rules change; confirm current CMS and payer requirements before billing.
- J7324
- Orthovisc, 30 mg injection. 1 billing unit = 30 mg
- NDC
- 59676-0360-01
Frequency
- 30 mg once a week for 4 doses
- 4 units every 180 days per knee
- Maximum 8 injections per 180 days
Covered ICD-10 codes
- M17.0
- Bilateral primary osteoarthritis of knee
- M17.11
- Unilateral primary osteoarthritis, right knee
- M17.12
- Unilateral primary osteoarthritis, left knee
- M17.2
- Bilateral post-traumatic osteoarthritis of knee
- M17.31
- Unilateral post-traumatic osteoarthritis, right knee
- M17.32
- Unilateral post-traumatic osteoarthritis, left knee
- M17.4
- Other bilateral secondary osteoarthritis of knee
- M17.5
- Other unilateral secondary osteoarthritis of knee
- M17.9
- Osteoarthritis of knee, unspecified