How do you bill for zoledronic acid infusion?
HCPCS code J3489 (Injection, zoledronic acid, 1 mg) should be used to report Zometa®). The number of units billed on a claim should be 4 since Zometa is given as a single 4 mg injection for the indications outlined in the LCD.
Is zoledronic acid generic?
Zoledronic acid is the generic name for the trade name drug Zometa®. In some cases, health care professionals may use the trade name Zometa® when referring to the generic drug name zoledronic acid.
What is the generic for Reclast infusion?
Mylan have launched Zoledronic Acid Injection, the generic version of Novartis’ Reclast Injection.
Is zoledronic acid covered by insurance?
As with all medications, the cost of zoledronic acid can vary. Factors that may affect the price you’ll pay include your treatment plan and your insurance coverage. It may also depend on the cost of the visit to a healthcare professional to receive doses of zoledronic acid.
What is the CPT code for zoledronic acid infusion?
The appropriate HCPCS Level II supply code for Reclast® is J3489 Injection, zoledronic acid, 1 mg. For an initial infusion of Reclast® lasting 16 minutes or longer, report 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour.
What is CPT code for Reclast infusion?
96365
The code 96365 is used to code for the 20-minute Reclast infusion. For the infusions to be considered as an initial hour, the infusion has to be at least 16 minutes long.
What is the brand name for zoledronic acid?
you should know that zoledronic acid injection is available under the brand names Zometa and Reclast.
How much does zoledronic acid cost?
Based on CMS reimbursement data, the average cost of zoledronic acid — including IV administration — is $140 per dose and $74 for administration. Subcutaneous denosumab costs $1,828 per dose and $78 for administration.
Is there a generic drug for Reclast?
Reclast (zoledronic acid) is an expensive drug used to treat Paget’s disease and osteoporosis in women. It is less popular than comparable drugs. There are currently no generic alternatives to Reclast.
How do you do a bill Reclast infusion?
The code 96365 is used to code for the 20-minute Reclast infusion.
How much does a zoledronic acid infusion cost?
PRICE. Zoledronic acid costs approximately $1,250 per dose, given once a year. This course of treatment costs less than one year of intravenous ibandronate (Boniva) given every three months ($1,940), but costs more than one year of any of the oral bisphosphonates given monthly.
What is CPT code J3488?
HCPCS code J3488 (Injection, zoledronic acid [Reclast] 1 mg) should be used to report Reclast®. The number of units billed on a claim should be 5, since Relcast® is given as a single 5 mg injection. Reclast is only administered once per 12 months, therefore, only one Reclast® claim should be submitted per year.