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J7304 Contraceptive hormone patch

J Codes (Drugs)

Also known as: Ortho Evra, contraceptive patch, transdermal contraceptive

Transdermal contraceptive patch delivery system with hormone formulation, providing weekly contraceptive protection for 3 weeks per cycle.

In Plain Language

birth control patch; weekly contraception

Clinical Context

Used for contraception in women, applied weekly for 3 weeks with 1 week off, delivers consistent hormone levels.

RVU Information

CPT J7304 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

Obstetrics and GynecologyFamily MedicineContraception

Frequently Asked Questions

What is CPT code J7304?

CPT J7304 (Contraceptive hormone patch) is a J Codes (Drugs) code. Transdermal contraceptive patch delivery system with hormone formulation, providing weekly contraceptive protection for 3 weeks per cycle.

How is J7304 administered?

CPT J7304 is administered by a healthcare provider, typically via injection or infusion. Used for contraception in women, applied weekly for 3 weeks with 1 week off, delivers consistent hormone levels. It is used by Obstetrics and Gynecology, Family Medicine, Contraception.

When is CPT J7304 used?

Used for contraception in women, applied weekly for 3 weeks with 1 week off, delivers consistent hormone levels.

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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.