July 8, 2021
I’m using Code-X at my practice and, unfortunately, I couldn’t find physician fee reimbursement in the RVU tracker for some of the codes in our location. Are you able to guide me or should I contact the AAOS?
Here are the three codes:
- J7320- GenVisc (Intra-articular Injection),
- J7322 – Hymovis
- J7332 – TriLURON.
Great to hear you are using Code-X and it sounds like you are taking advantage of the many available features.
Drugs are not assigned Relative Value Units (RVUs) by CMS, which is why you are not able to find them in the tracker.
Payment for these three drugs will either be carrier priced or based on other formulas, such as wholesale acquisition cost (WAC).
*This response is based on the best information available as of 07/08/21.