AHA Coding Clinic® for HCPCS - 2013 Issue 3; Ask the Editor

Zoledronic acid (Reclast®)

The coders at our facility are concerned about the correct reporting of Zoledronic acid (Reclast®). This drug is packaged in a bottle/vial for intravenous infusion. One bottle/vial contains 5 mg of the Zoledronic acid solution. A normal dose of Zoledronic acid is 5 mg, which should only be administered once every 12 months. The dilemma is that according to the Centers for Medicare & Medicaid Services (CMS) drugs should not be reported based on how the drug is packaged, stored, or stocked. So, if a patient receives 5 mg of Zoledronic acid, how would this be correctly reported when the HCPCS code descriptor states Q2051, Injection, zoledronic acid, not otherwise specified, 1 mg? ...

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