tci Part B Insider - 2014 Issue 13

READER QUESTION: Know How to Report Zometa Injections

Question: I heard that the coding for Zometa injections changed in 2014. What should we be reporting now? Answer: You should report 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis [specify substance or drug]; initial, up to 1 hour) for the injection procedure. Then, you’ll use J3489 (Injection, zoledronic acid, 1 mg) to report the drug.  You previously reported Zometa with J3487 (Injection, zoledronic acid [zometa], 1 mg), but HCPCS deleted that code for 2014. The year 2013 was a year of transition for zoledronic acid codes. In July 2013, the code Q2051 (Injection, zoledronic acid, not...

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