The majority of plans routinely reimburse fully for this treatment option using HCPCS code J7330 for autologous cultured chondrocytes and CPT code 27412 for autologous chondrocyte implantation
Contact a MyCartilage Care Representative for reimbursement support at: 877-872-4643
The following coverage, coding, and payment information is provided for informational purposes only and should not be construed as legal advice.
The information has been compiled from various resources and is subject to change. Providers should exercise independent clinical judgment when selecting codes and submitting claims to reflect accurately the services rendered to individual patients.
Third-party payment for medical products and services is affected by numerous factors. Providers are encouraged to contact third-party payers for specific information on their coverage, coding, and payment policies.
This document is not intended to be a directive, nor is it a suggestion about the likelihood of obtaining reimbursement. This list is not all-inclusive, and physician and staff may deem other codes more appropriate. Providers are responsible for selecting coding options that most accurately reflect a patient's condition, the provider's system guidelines, payer requirements and services rendered.
typical ICD-10 codes
examples of cpt codes at time of biopsy
ACI CPT Code
Important notes for physician offices
Reimbursement will depend upon the contract with the insurer. The physician may want to consult with the insurer's contracting representative to determine how the contract may affect reimbursement.