What is J code for Reclast?

What is J code for Reclast?

J3489
HCPCS code J3489 (Injection, zoledronic acid 1 mg) should be used to report Reclast®.

What is CPT code J2405?

For your specific example, HCPCs J2405 is defined as “Injection, ondansetron HCl, per 1mg.” This definition means that the units should be reported in 1mg increments. It is simple math when the dose ordered and administered is 4mg; the units reported are 4.

What is CPT code J1030?

“ HCPCS code J1030 is defined as “Injection, methylprednisolone acetate, 40 mg.”

Is reclast covered by Medicare?

No. Medicare Advantage plans and Medicare Part D plans do not typically cover Reclast. You may be able to find Medicare Advantage plans or Part D plans that help treat osteoporosis and Paget’s disease.

What is reclast used to treat?

Reclast is used to treat Paget’s disease, multiple myeloma, any type of cancer that spreads to the bone, osteoporosis, and high blood levels of calcium caused by cancer. The dosage will vary depending on the condition being treated.

How are J codes reimbursed?

“By having a J-code, that streamlines the process. You can use one code across all payers for reimbursement,” she said. Reimbursement is separate from the procedure and does not affect the physician’s or the ASC’s reimbursement. “In fact, ASCs and hospitals can be reimbursed above the cost of the product,” she said.

How long does it take to get J code?

Code verification takes about 65 days. The application form and accompanying instructions are on the PDAC website. As a matter of practice, all payers generally follow the PDAC’s code verification decisions, not just Medicare.

What does CPT code 96374 mean?

Code CPT 96374 to report an IV push injection of a single or initial substance/drug.

What is CPT code J7030?

J7030: “Infusion, normal saline solution, 1000 cc” 96375 X 2: “Each additional sequential intravenous push of a new substance/drug (list separately in addition to code for primary procedure)”

How much zoledronic acid is in a Reclast injection?

A: Reclast® (zoledronic acid) is an infused medication used to treat osteoporosis and Paget’s disease of bone. The appropriate HCPCS Level II supply code for Reclast® is J3489 Injection, zoledronic acid, 1 mg.

What is the ICD-10 description of Reclast?

Reclast ICD-10 ICD-10 Description C61 Malignant neoplasm of prostate M81.0 Age-related osteoporosis without current pathological fracture M81.6 Localized osteoporosis M81.8 Other osteoporosis without current pathological fracture M85.80 Other specified disorders of bone density and structure, unspecified site

How often should I give my Patient Reclast?

Patients must receive adequate hydration prior to the administration of Reclast. For patients with creatinine clearance ≥35 mL/min the recommended dose of Reclast is 5 mg infused intravenously once a year over no less than 15 minutes given over a constant infusion rate with a 10 mL normal saline flush of the IV line following the infusion.

How to report hydration and Reclast® infusion?

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.