HCPCS Code J7330: Autologous Cultured Chondrocytes, Implant

Yes. Use J7330 to bill for the implant product, and CPT 27412 for the surgical implantation procedure. If a specialty pharmacy delivers the implant, only CPT 27412 is billed by the facility, and J7330 is billed separately by the pharmacy.

Documentation should include lesion details (location, size, nature), prior failed conservative treatments, details of arthroscopy or cartilage harvest, and clinical rationale for ACI over other options.

Yes. Policies vary—some payers require prior authorization with detailed clinical documentation. Providers should reference payer-specific medical necessity criteria and revenue code requirements to ensure compliance.