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Wiki Billing for Reclast

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creehle

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Can Reclast still be billed as J3488 for outpatient physician visit?
It seems that there is a payment rate in the fee schedule but it is coming up as a non-existant code.
Any help would be appreciated,
Thanks
 
reclast

Hi, We haven't billed any Reclast lately, but I looked it up and Ingenix shows the fee change, but the code appears to be valid.

Good luck
Kathy, CPC
OB/GYN
 
What is giving you a message that the code is not valid? It is still a valid HCPCS code as far as I can tell, and wasn't on the 04/01 deleted codes list. I don't see an actual Medicare fee, as they base reimbursement for drugs differently.
 
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