NEXPLANON J Code: J7307
Etonogestrel (contraceptive) implant system, including implant and supplies
Drug & Product Overview
About NEXPLANON
Nexplanon is a medication aligned to the HCPCS J Code: J7307 for billing, pricing, and reimbursement purposes in the United States. Classified under Women's Health, it is administered via the subcutaneous route and manufactured by Organon.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J7307. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | NEXPLANON | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
NEXPLANON Pricing & Reimbursement
National median reimbursement across major commercial payers.
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NEXPLANON 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 |
|---|---|
| 11981 | Insertion of single non-biodegradable implant |
CMS does not include Nexplanon (J7307) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7307. Wastage billing guide →
NEXPLANON Medically Unlikely Edits (MUE)
The most billing units of J7307 Medicare will pay for one patient in one day, as published by CMS. 1 unit = singular 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 →
NEXPLANON 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 Nexplanon billing and coding guide?
Are there any available Nexplanon patient assistance programs?
Where can I find Nexplanon prescribing information?
Where can I find Nexplanon side effect information?
Does billing NEXPLANON require JZ/JW wastage modifiers?
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