HCPCS code J7304: Contraceptive patch, per patch2026 Medicare rate & RVUs in New York
Identifies each hormone-containing skin patch supplied for contraception, distinct from intrauterine devices, implants, and contraceptive placement procedures.
CMS doesn’t publish an office rate for J7304 in New York.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What J7304 covers
J7304 identifies a hormone-containing contraceptive patch supplied for use on the skin to prevent pregnancy. The code represents the patch itself, not an office visit or a procedure to place a contraceptive device. Its form distinguishes it from intrauterine contraceptive supplies and implant systems, which are different contraceptive products. One unit represents one patch; the reported quantity therefore counts patches supplied, not visits or placement procedures.
Medicare assigns J7304 physician fee schedule status N, meaning it is not covered by Medicare. CMS classifies the code as not covered by statute. Its HCPCS pricing designation says it is not separately priced by Medicare Part B. These payment classifications do not change the code's per-patch unit basis.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where J7304 pays more and less in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | Unavailable | Unavailable |
| NYC suburbs and Long Island, NY | Unavailable | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | Unavailable |
| Queens, NY | Unavailable | Unavailable |
| Rest of New York | Unavailable | Unavailable |
How the J7304 rate is calculated
Each of J7304’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · J7304
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for J7304
J7304 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · J7304
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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J7304 isn’t priced in this setting.
J7304 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- J7300Copper IUDParagard device
- Choose J7304 for a hormone-containing contraceptive patch supply. J7300 identifies a copper intrauterine contraceptive device.
- J7301Skyla IUD13.5 mg system
- J7301 identifies a levonorgestrel intrauterine system; J7304 identifies a contraceptive patch worn on the skin.
- J7307Etonogestrel implantImplant and supplies
- J7307 identifies an etonogestrel implant system. J7304 is for the patch supply, not an implanted contraceptive.
J7304 billing questions
What does one unit of J7304 represent?
One unit represents one hormone-containing contraceptive patch.
Does J7304 describe a visit or a placement procedure?
No. It identifies the contraceptive patch supply, not an office visit or a device insertion service.
How is J7304 different from J7300?
J7304 identifies a hormone-containing skin patch. J7300 identifies a copper intrauterine contraceptive device.
How is J7304 different from J7306 or J7307?
J7304 is a patch supply. J7306 and J7307 identify contraceptive implant systems.
Does Medicare cover J7304 under Part B?
No. Medicare classifies it as not covered by statute, and it is not separately priced by Medicare Part B.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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