WebDec 29, 2015 · Synvisc: Maximum 6 injections per 180 days − Synvisc-One: Maximum 2 injection per 180 days B. Max Units (per dose and over time) [Medical Benefit]: J7323 (Euflexxa) per knee Male 3 units every 180 days. Female 3 units every 180 days. J7325 (Synvisc/Synvisc-One) per knee . Male . 48 units every 180 days. Female . 48 units every … WebSYNVISC® (hylan G-F 20) and Synvisc-One® (hylan G-F 20) are indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond …
HYALURONATE PRODUCTS PREFERRED PRODUCTS: …
WebHylan polymers: (Synvisc®, Synvisc One®, Gel One®) Place of Service Office Administration Outpatient Facility Infusion Administration Infusion Center Administration HCPCS • J7318 - Durolane per 1 mg • J7320 - GenVisc 850 per 1 mg • J7321 - Hyalgan per dose • J7321 - Supartz FX per dose • J7321 – Visco -3 per dose • WebSynvisc-One: 1 injection (6 mL each; 6 mL total) per 180 day course Synvisc: 3 injections (2 mL each; 6 mL total) per 180 day course Hyalgan: 3 to 5 injections (2 mL each; 10 mL total) per 180 day course hoseasons brunston castle
Package Insert Gel-One Cross-linked Hyaluronate - Food and …
WebSynvisc-One is indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative non-pharmacologic … WebSYNVISC® (hylan G-F 20) and Synvisc-One® (hylan G-F 20) are indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative nonpharmacologic therapy and simple analgesics, e.g., acetaminophen. Web• J7325 – Synvisc-One (Genzyme) 48 mg injection: 1 billing unit = 1 mg • J7326 – Gel-One (Seikagaku) 30 mg injection: 1 billing unit = 30 mg ... Gel-One [package insert]. Tokyo, Japan; Seikagaku Corporation May 2011. Accessed November 2015. 8. Monovisc [package insert]. Bedford, MA; Anika Therapeutics; February 2014. hoseasons brochure 2023