J7294 Seg acet and eth estr yearly
Also known as: Annovera, segesterone/ethinyl estradiol, yearly contraceptive ring
Segesterone acetate and ethinyl estradiol yearly subdermal implant, a long-acting reversible contraceptive implant providing twelve months of contraception.
In Plain Language
birth control implant; yearly contraception
Clinical Context
Used for contraception in women of reproductive age, provides 12-month protection with single annual insertion, reversible.
RVU Information
CPT J7294 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J7294?
CPT J7294 (Seg acet and eth estr yearly) is a J Codes (Drugs) code. Segesterone acetate and ethinyl estradiol yearly subdermal implant, a long-acting reversible contraceptive implant providing twelve months of contraception.
How is J7294 administered?
CPT J7294 is administered by a healthcare provider, typically via injection or infusion. Used for contraception in women of reproductive age, provides 12-month protection with single annual insertion, reversible. It is used by Obstetrics and Gynecology, Family Medicine, Contraception.
When is CPT J7294 used?
Used for contraception in women of reproductive age, provides 12-month protection with single annual insertion, reversible.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.