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Euflexxa® Reimbursement Hotline

The Euflexxa® Reimbursement Hotline is available to assist medical professionals and billing staff who have questions about insurance coverage, claims, or billing.

Call toll free: 1-866-EUFLEX1 (Monday-Friday, 8:30 AM-6 PM EST)

You can submit for reimbursement online by clicking here.

Our reimbursement specialists can provide helpful information in a number of areas, including:

 
  • Insurance verification for specific patients
  • Suggested coding for Euflexxa® therapy
  • Obtaining prior authorization
  • Appealing denied or unpaid claims
 

Note: The Euflexxa® Reimbursement Hotline is for medical professionals and their billing staff only. Use of the Euflexxa® Reimbursement Hotline does not guarantee insurance coverage.

 
Code Medicare reimbursement effective January 1, 2012
J7323
Euflexxa®
(per dose)
$154.08
(per dose)
J7323
 

How it works

 
All you do
Complete and return the enclosed Request for Coverage Details and Business Associate Agreement forms. These forms are also available online at the web address below.
Bullet_phone   1-866-EUFLEX1 (1-866-383-5391)
reimbursement/bullet_web.jpg   For online benefit information, log on to:
www.euflexxa.com/reimbursement
Bullet_fax   1-866-EUFLEX2 (1-866-383-5392)
Hours of operation: Monday through Friday, 8:30 AM to 6:00 PM ET
 
 
We do the rest
Bullet_step1   Complete in-depth verification of benefits
Bullet_step2   Notify practice of results using the Benefit Investigation Report
Bullet_step3   Provide case management and prior authorization support
Bullet_step4   Identify specialty pharmacy options (upon request)
The Euflexxa® Solution Center will respond to each fax submission within 1 to 2 business days, notifying your office of a patient's coverage via the Benefit Investigation Report.
 
 
Submit Online

The Euflexxa® Solution Center is a service that offers you the opportunity to better manage your insurance verification activity.
  • Track case status
  • Understand benefits coverage
  • Make new patient submissions
Submit Online Now
 
 
Reimbursement Forms

PdfPatient Enrollment Form
PdfPatient Authorization Form
PdfBusiness Associate Agreement
 
 
EUFLEXXA® Billing Codes

ICD-9-CM

  • 715.16 Osteoarthrosis, localized, primary, lower leg
  • 715.26 Osteoarthrosis, localized, secondary, lower leg
  • 715.36 Osteoarthrosis, localized, unspecified as to primary or secondary, lower leg
  • 715.96 Osteoarthrosis, unspecified whether generalized or localized, lower leg

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NDC

55566-4100-1 EUFLEXXA® is supplied in a 2.25 mL nominal volume, disposable, pre-filled glass syringe containing 2mL of EUFLEXXA®. Only the contents of the syringe are sterile. EUFLEXXA® is nonpyrogenic. EUFLEXXA® is available in 3 disposable syringes per carton.

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HCPCS

J7323 Hyaluronan or derivative, EUFLEXXA®, for Intra-atricular injection, per dose.

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CPT

20610 Arthrocentesis, Major joint or bursa
  • 20610-RT Right knee procedure
  • 20610-LT Left knee procedure
  • 20610-50 Bilateral treatment
 

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