September 17, 2020
Our physicians are looking at purchasing generic Hyaluronan instead of purchasing the name brand Orthovisc or MonoVisc for example. In doing research, I am not finding any NDC codes or HCPCS codes that specifically address the generic Hyaluronan.
I also came across this list of Hyaluronic Acid Derivatives. If I am reading correctly, it would not be possible to decide which drug the physician might be giving if the vial just stated “hyaluronan”
HYALURONIC ACID DERIVATIVES
1. Durolane, Euflexxa, GelSyn-3, GenVisc 850, Hyalgan, Sodium Hyaluronate, Supartz, Synojoynt*, Triluron, TriVisc, Visco-3 (Sodium Hyaluronate)
2. Gel-ONE, Hymovis, Monovisc, Orthovisc (Hyaluronan)
3. Synvisc, Synvisc-One (Hylan G-F 20)
May we submit the traditional J code (J7327-Monovisc) for the generic Hyaluronan 88 mg?
Thank you for your inquiry and kudos to your physicians in having you do your due diligence before they make the switch. Report J3490 for any generic Hyaluronic Acid Derivatives; include comments in box 19 that J3490 describes generic Hyaluronan (your example), include the drug dose and the name of the comparison trademark drug name.
*This response is based on the best information available as of 09/17/20.