Effective for dates of service beginning January 1, 2019, the following Medicare Part B devices will be preferred to support cost-effective benefits. During precertification initiation or renewal, providers requesting a nonpreferred device will be encouraged to switch to a preferred product. The preferred and nonpreferred products are listed below.

 

Preferred devices

Nonpreferred devices

Euflexxa® (J7323)

Hyalgan®/Supartz®/Visco-3® (J7321)

Durolane® (J7318)

Gel-One® (J7326)

Gelsyn-3® (J7328)

Genvisc 850® (J7320)

Hymovis® (J7322)

MonoviscTM (J7327)

Orthovisc® (J7324)

Synvisc® or Synvisc-One® (J7325)

TriviscTM (J7329)

 



Featured In:
February 2019 Anthem Indiana Provider Newsletter