Home › Drug Codes › J Codes › J7318 · Durolane
Updated July 1st, 2026

Durolane J Code: J7318

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg

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Q4 2026 Medicare Payment Limit for J7318, effective October 1, 2026: $6.314 per HCPCS billing unit, up 1.2% from $6.239. From CMS's final file.

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Medicare Payment Limit ?
$6.239
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$6.239
/ HCPCS billing unit · APC 9174
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
HCPCS Added Date January 1, 2019
Manufacturer Bioventus
Route of Administration Injection
Generic Status Single-Source; Branded

About Durolane

Durolane is a medication aligned to the HCPCS J Code: J7318 for billing, pricing, and reimbursement purposes in the United States. It is an Orthopedic drug administered via the injection route and manufactured by Bioventus.

According to CMS Drug Use Information: Drug uses not available

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
89130-2020-01 Durolane Bioventus LLC 60 60 MG / 3 ML
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Durolane Pricing & Reimbursement

J7318 Private Payer Reimbursement
$6.55 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Durolane CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
20610 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
20611 Arthrocentesis, aspiration and/or injection into a joint or bursa (eg, subacromial bursa), under ultrasound guidance with permanent recording and reporting.
Not on the CMS JW / JZ list

CMS does not include Durolane (J7318) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7318. Wastage billing guide →

Durolane Medically Unlikely Edits (MUE)

The most billing units of J7318 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
120 units / day
= 120 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

Durolane Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Osteoarthritis of the knee

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Frequently Asked Questions

Is there an available Durolane billing and coding guide?
Billing and coding information for Durolane can be found through Bioventus. Visit Here →
Are there any available Durolane patient assistance programs?
Durolane patient assistance information can be found through Bioventus. Visit Here →
Where can I find Durolane prescribing information?
Durolane prescribing information can be found at the link below: Visit Here →
Where can I find Durolane side effect information?
Our team has not yet identified a source of side effects information for Durolane. Please check back in a few weeks.
Does billing Durolane require JZ/JW wastage modifiers?
CMS does not include Durolane (J7318) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7318. For more information, visit the link below.

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