HCPCS code J7304: Contraceptive patch, per patch2026 Medicare rate & RVUs in Washington

CMS doesn’t publish an office rate for J7304 in Washington.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

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 Washington

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.

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.

J7304 compared with similar codes

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.

Codes related to J7304

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates