2015年7月29日 · I had a prolia injection last month. I was charged with a code of J0897 and 96372 for a total before insurance cost of $2925. I paid a copayment for the medication separately. My share of the cost was $528.27. I want to discuss this with my insurance company, but first I want to understand if these costs are acceptable and accurate.

HCPCS code J0897 for Injection, denosumab, 1 mg as maintained by CMS falls under Drugs, Administered by Injection . Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial Buy Now

2019年6月17日 · Billing J0897 for Diagnosis code M810. Is the proper administration code 96372 or 96401. Received various answers in reference to which administration code is the correct code to us for J0897. Apparently UHC-Medicare wants us to us 96372. I received information the Medicare will accept 96401 .

2015年7月15日 · We bill the admin code of 96401 with J0897, because Prolia is a biologic---and the 96401 is the appropriate code for that category of drug. That also means that your reimbursement would be greater for the admin because of the risks/side effects for biologics.

2013年7月18日 · Standard dosage is 60 mgs. per one vial. HCPCS code is J0897 = injection, denosumab, 1 mg. How would the 60 mgs given to the patient with senile osteoporosis be notated in quantity? 1 vial has 60 mgs therefore wouldn't the correct designation be J0897 (60 ) with explanation on line 19? Surely, I am missing the ease of computing this!

2016年1月21日 · Wiki Prolia (J0897) Thread starter MaribelChavez; Start date Jan 21, 2016; Tags

Wiki Billing J0897 & J9250. Thread starter dbouton; Start date Aug 25, 2021; Create Wiki D. dbouton ...

2016年1月21日 · When using Denosumab J0897 as 96401 for bone cancer, do you need to use the Z51.11? jrs7117; Thread; Mar ...

2011年12月30日 · Beginning Jan. 1, 2012, a new HCPCS Level II code has been assigned to the drug denosumab. Formally C9272 Injection, denosumab, 1 mg, denosumab should now be reported with J0897 (description remains the same). The drug denosumab has two brand names with two different indications: Prolia® – indicated to treat osteoporosis in women after ...

2014年8月6日 · Does anyone know how to effectively bill for Lupron J9217 & Prolia/Xgeva J0897? Is it normal for your Patients to get stuck with $2,000 bill? Any advice/response would be appreciated. Thanks. Anyone else having issues with these 2 codes?