Forum - Questions & Answers
Reclast Billing
Does anyone have any experience with billing for Reclast Infusion Treatments in an outpatient setting?
If so, what are teh obstacles you have encountered?
Reclast
96365- Intravenous infusion for therapy, up to 1 hour.
J3488- Injection, zoledronic acid (Reclast), 1mg. Physician needs to specify 5 units for approved 5mg dosing of Reclast
Approved diagnoses will be payor specific
Diagnosis code (ICD-9-CM):
733.01—Senile osteoporosis (postmenopausal women/men)
Low-trauma hip fracture (use both: code for senile osteoporosis and for fracture site)
733.01 + 733.14—Pathological fracture: neck of femur
733.01 + 733.15—Pathological fracture: other specified part of femur
733.01 + 820.0-820.9—Fracture due to injury: neck of femur
731.0—Paget's disease of bone (osteitis deformans)