Does J7402 require prior authorization?

Yes, J7402 requires prior authorization (medium confidence). Conditional coverage; review criteria to confirm PA need.

What is the Medicare reimbursement rate for J7402?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

Prior Auth Required

Conditional coverage; review criteria to confirm PA need (medium confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

The use of implantable sinus devices for postoperative treatment following endoscopic sinus surgery and for treatment of recurrent sinonasal polyposis is considered investigational.

HEALTHNET_OR-HNOR-MOMETASONE-FUROATE-SINUVA-CP-PHAR-448-4BCA6D7E78, Mometasone furoate (Sinuva); CP.PHAR.448

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