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ORTHOVISC® Hyaluronan Reimbursement Coding


ORTHOVISC® Hyaluronan Reimbursement Coding

You can find answers to your ORTHOVISC® Hyaluronan reimbursement questions by visiting the ORTHOVISC® Line website or by contacting our support hotline.

ORTHOVSIC Hyaluronan Reimbursement Coding Hotline ORTHOVISC® Line
Phone: 1-866-633-VISC (8472)
Fax: 1-877-248-1182
Available Monday–Friday, 9 AM – 8 PM ET


ORTHOVISC® Hyaluronan is eligible for reimbursement by Medicare and most managed care plans. Depending upon reimbursement coverage, ORTHOVISC® Hyaluronan can be obtained by purchasing directly from DePuy Synthes Mitek Sports Medicine Customer Service at 1-800-382-4682 or by writing an ORTHOVISC® Hyaluronan prescription.

Insurance policies and coverage for ORTHOVISC® Hyaluronan vary patient to patient and plan-to-plan. It is recommended to check with a specific patient insurance carrier to verify coverage.

ORTHOVISC® Hyaluronan offers a patient assistance program through Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF), an independent, nonprofit organization. JJPAF provides assistance to patients experiencing financial hardship who have no insurance coverage for their prescription medicines. To learn more about JJPAF, visit or call 800-652-6227.



ORTHOVISC® Line Web Portal



ORTHOVISC® Line has an online reimbursement support center to provide physicians and their office staff assistance with reimbursement for ORTHOVISC High Molecular Weight Hyaluronan.

Go to the ORTHOVISC® Hyaluronan support center



How ORTHOVISC® Line Can Help



  • Offers patient assistance programs to patients without insurance coverage (financial qualifications required)
  • Shares insurance guidelines for private, federal and state programs and plans
  • Provides assistance with coding and billing questions
  • Verifies patient insurance coverage and prior authorization requirements
  • Assists providers on payor-specific claims submission requirements
  • Identifies process requirements for appeals of a denied claim
  • Provides published CMS fee schedules and payment process methodologies for ORTHOVISC® Hyaluronan and its associate procedures
  • Provides coding information specific to payor requirements and coding guidelines





What ORTHOVISC® Line Cannot Do



  • Submit a claim
  • Guarantee coverage or specific payment level
  • Initiate or manage a prior authorization
  • Complete medical necessity documentation on behalf of the prescribing physician
  • Submit an appeal
  • Research the basis for the denial or intervene with the payor on behalf of the customer or patient
  • Waive patient co-pays
  • Calculate or discuss provider costs, profit or spread
  • Recommend how providers charge for ORTHOVISC® Hyaluronan and its associated procedures
  • Tell the provider what codes should be used to "maximize" reimbursement


The reimbursement information contained in this website is provided for informational purposes only and represents no statement, promise or guarantee by DePuy Synthes Mitek Sports Medicine concerning levels of reimbursement, payment or charge. Similarly, all CPT and HCPCS codes are supplied for informational purposes only and represent no statement, promise or guarantee by DePuy Synthes Mitek Sports Medicine that these codes will be appropriate or reimbursement will be made. The information presented is not intended to increase or maximize reimbursement by any payor. We strongly recommend that you consult your payor organization with regard to its reimbursement policies.

JCode Source: Federal Register/Vol.72, No. 227, pp 66774/Tuesday, November 27, 2007. All Current Procedural Terminology (CPT) five-digit numeric codes, descriptions, numeric modifiers, instructions, guidelines and other material are Copyright 2007 American Medical Association. All Rights Reserved.

ICD-9 is based on the official version of the World Health Organization's Ninth Revision, International Classification of Diseases.

CPT codes and descriptions only are Copyright 2007 American Medical Association. All Rights Reserved.



CA#20135A DJ 12787A
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