MACI J Code: J7330
Autologous cultured chondrocytes, implant
Drug & Product Overview
About MACI
MACI is a medication aligned to the HCPCS J Code: J7330 for billing, pricing, and reimbursement purposes in the United States. It is an Orthopedic drug administered via the intra-articular route and manufactured by Vericel Corporation.
Manufacturers, reach out to us to add more information.
NDC Code Information
2 NDC packages are crosswalked to J7330. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | MACI | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | MACI | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
MACI Pricing & Reimbursement
National median reimbursement across major commercial payers.
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MACI 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 |
|---|---|
| 27412 | Autologous chondrocyte implantation, knee |
CMS does not include MACI (J7330) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7330. Wastage billing guide →
MACI Medically Unlikely Edits (MUE)
The most billing units of J7330 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 implant.
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 →
MACI Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
Is there an available Maci billing and coding guide?
Are there any available Maci patient assistance programs?
Where can I find Maci prescribing information?
Where can I find Maci side effect information?
Does billing MACI require JZ/JW wastage modifiers?
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