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Updated July 1st, 2026

Gelsyn-3 J Code: J7328

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg

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Q4 2026 Medicare Payment Limit for J7328, effective October 1, 2026: $0.55 per HCPCS billing unit, down 5.8% from $0.584. From CMS's final file.

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Medicare Payment Limit ?
$0.584
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$0.584
/ HCPCS billing unit · APC 1862
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, gelsyn-3, for intra-articular injection, 0.1 mg
HCPCS Added Date January 1, 2016
Manufacturer Bioventus
Route of Administration Injection
Generic Status Single-Source; Branded

About Gelsyn-3

Gelsyn-3 is a medication aligned to the HCPCS J Code: J7328 for billing, pricing, and reimbursement purposes in the United States. Classified under Orthopedic, it is 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
89130-3111-01 Gelsyn-3 Bioventus LLC 168 16.8 MG / 2 ML
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Gelsyn-3 Pricing & Reimbursement

J7328 Private Payer Reimbursement
$0.82 / 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

Gelsyn-3 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 Gelsyn-3 (J7328) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7328. Wastage billing guide →

Gelsyn-3 Medically Unlikely Edits (MUE)

The most billing units of J7328 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.

Practitioner Office & Hospital Outpatient
336 units / day
= 33.6 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.

Gelsyn-3 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 Gelsyn-3 billing and coding guide?
Billing and coding information for Gelsyn-3 can be found through Bioventus. Visit Here →
Are there any available Gelsyn-3 patient assistance programs?
Gelsyn-3 patient assistance information can be found through Bioventus. Visit Here →
Where can I find Gelsyn-3 prescribing information?
Gelsyn-3 prescribing information can be found at the link below: Visit Here →
Where can I find Gelsyn-3 side effect information?
Our team has not yet identified a source of side effects information for Gelsyn-3. Please check back in a few weeks.
Does billing Gelsyn-3 require JZ/JW wastage modifiers?
CMS does not include Gelsyn-3 (J7328) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7328. For more information, visit the link below.

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