State & FederalMedicare AdvantageJanuary 31, 2019

New specialty Medicare Part B device preferred product program

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

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

  • Euflexxa® (J7323)
  • Hyalgan® /Supartz® (J7321)
  • Duralone® (J7318)

 

Non-preferred Devices

  • Gel-One® (J7326)
  • Gelsyn-3® (J7328)
  • Genvisc 850® (J7320)
  • Hymovis® (J7322)
  • MonoviscTM (J7327)
  • Orthovisc® (J7324)
  • Syncvisc® or Synvisc-One® (J7325)
  • TrivuscTM  (J7329)

75557MUSENMUB 12/20/18

PUBLICATIONS: February 2019 Empire Provider Newsletter