HCPCS J7318

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

1,209
88th percentile among 6,405 codes billed · 2023
$15M
91st percentile among 6,405 codes billed · 2023
3.0M
98th percentile among 6,405 codes billed · 2023
1,683
96th percentile among 6,405 codes billed · 2023
6,780
97th percentile among 6,405 codes billed · 2023
-41.9%
Medicare payment on the code vs 2022; billers +14.2%. 2023 changed hospital and observation visit codes · 2023

Trend

Medicare payment on the code

$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

01,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,475

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Trend by year: table5 years
observed calculated calculated calculated calculated calculated reported
20241,475$19,209,975+25%3,779,7161,7407,2180.00
20231,209$15,378,579-42% (2023 changed hospital and observation visit codes)3,017,6511,6836,7800.00
20221,059$26,487,637-15%2,479,3841,6806,5460.00
2021866$31,154,581– (Not compared: 2021 changed office visit values)2,274,0081,7277,2900.00
2020660$22,570,173first year in data1,629,8161,6206,5430.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

Show the table by state27 states
observed calculated calculated calculated calculated calculated
California111$1,565,193304,6481,8008,221
Florida80$1,267,191245,1331,7516,663
South Carolina72$1,147,880226,5472,1607,965
Texas99$1,108,914218,4451,6205,136
Illinois63$904,826178,8311,62010,314
Ohio72$901,234175,6721,6207,713
Arizona62$883,826174,2681,8007,164
Michigan51$648,922128,2101,5007,950
New Jersey44$613,309120,5991,9207,001
Kentucky39$575,077113,2002,1607,722
New York51$555,999109,8661,5605,310
Colorado50$547,621106,9401,7104,071
Pennsylvania42$508,40599,0061,6515,442
Massachusetts33$492,94496,7971,8607,440
North Carolina36$451,13387,5561,8905,700

Not listed: 18 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2023.

Top metro areas

Show the metro areas26 areas
observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ71$903,306177,5301,685
Chicago-Naperville-Elgin, IL-IN42$711,923140,8332,070
Los Angeles-Long Beach-Anaheim, CA30$495,21295,4821,950
Cincinnati, OH-KY-IN33$457,00689,1301,680
Greenville-Anderson-Greer, SC25$404,42380,1412,100
Detroit-Warren-Dearborn, MI21$378,21174,2092,520
Phoenix-Mesa-Chandler, AZ31$349,60568,9441,680
Denver-Aurora-Centennial, CO27$341,41066,8512,040
Boston-Cambridge-Newton, MA-NH26$335,95766,0791,830
Oxnard-Thousand Oaks-Ventura, CA12$317,19261,0564,380
Louisville/Jefferson County, KY-IN20$307,67560,5422,100
San Diego-Chula Vista-Carlsbad, CA21$284,93755,5032,160
Austin-Round Rock-San Marcos, TX22$280,43355,1151,770
Charleston-North Charleston, SC20$246,54949,0391,502
Dallas-Fort Worth-Arlington, TX20$230,60945,5981,391

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 26 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J7318 nationally

Orthopedic Surgery accounts for 44% of payment for J7318 nationally in 2023, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery53844%$6,827,92344%1,340,7002,492
Physician Assistant31626%$3,782,52225%745,9782,361
Sports Medicine1078.9%$1,707,22811%331,9423,102
Nurse Practitioner816.7%$1,095,5597.1%216,1522,669
Family Practice655.4%$862,3915.6%168,5642,593
Physical Medicine and Rehabilitation524.3%$479,6493.1%93,6831,802
Rheumatology201.7%$204,5611.3%38,9591,948

Not listed: 11 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2023.

Top billers of J7318 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations