J7316 Injection, ocriplasmin, 0.125 milligrams
Also known as: Jetrea, ocriplasmin, microplasmin
Injection of ocriplasmin (microplasmin), 0.125 milligrams, a serine protease used for vitreomacular traction treatment.
In Plain Language
eye injection for vitreous problems; scar tissue breakdown
Clinical Context
Indicated for treatment of vitreomacular adhesion causing visual symptoms, enzymatically cleaves protein matrix of vitreous.
RVU Information
CPT J7316 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 J7316?
CPT J7316 (Injection, ocriplasmin, 0.125 milligrams) is a J Codes (Drugs) code. Injection of ocriplasmin (microplasmin), 0.125 milligrams, a serine protease used for vitreomacular traction treatment.
How is J7316 administered?
CPT J7316 is administered by a healthcare provider, typically via injection or infusion. Indicated for treatment of vitreomacular adhesion causing visual symptoms, enzymatically cleaves protein matrix of vitreous. It is used by Ophthalmology, Retina Specialist, Vitreoretinal.
When is CPT J7316 used?
Indicated for treatment of vitreomacular adhesion causing visual symptoms, enzymatically cleaves protein matrix of vitreous.
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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.