WebOct 1, 2024 · VI. Billing Code/Availability Information HCPCS Code: J3304 – Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 … WebZilretta®(triamcinolone acetoni de extended- release) FDA approval:October 6, 2024 HCPCS:Q9993, J3304 Benefit: Medical Policy: Requests must be supported by submission of chart notes and patient specific documentation. A. Coverage of the requested drug is provided when all the following are met: a. FDA approved age b.
Zilretta® (triamcinolone acetonide ER) - Magellan Provider
WebAug 17, 2024 · Injection/infusion medications may be self- or caregiver-administered, or administered by a home health agency, in a hospital, or in a provider’s office. See Home Infusion Therapyfor information on medication coverage for self-injection/infusion in the home or when dispensed by a home health agency. WebFor HYMOVIS, payers accept the following HCPCS code: HYMOVIS 11-digit Example Reporting on CMS Claim Forms 89122-0496-63 89122049663 ... Arthrocentesis, aspiration, and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance 20611 mmbd meaning
Zilretta® (Triamcinolone Acetonide Extended Release …
WebZILRETTA (triamcinolone acetonide extended-release injectable suspension) is indicated as an intra-articular injection for the management of osteoarthritis pain of the knee. Limitation of Use . The efficacy and safety of repeat administration of ZILRETTA have not been demonstrated. [see Dosage and Administration (2.1)]. 2 DOSAGE AND ADMINISTRATION WebSubmitting claim forms. Verify the name of the healthcare provider and National Provider Identifier (NPI) Use the most appropriate ICD-10-CM diagnosis and CPT procedure codes associated with each patient’s diagnosis and care 1. Be sure to use the permanent, product-specific J-code (J3304) and bill 32 units of ZILRETTA per injection. WebImmune globulin Injection (human), 10% . ... HCPCS . codes . Generic name Trade name Step therapy . requirement Prior authorization . requirement effective date Submit … initialed backpacks