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Boniva Infusion

Gayla1

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3
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0
Our patients want us to give the Boniva infusion in our office. We are confused on what J code to use for the medication itself. We found the code J1740 for a 1mg injection. The infusion is 3ML.
Can anyone help us with this? Thank you for your time!
 

ssteele

Contributor
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20
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This is straight from the "Boniva Injection Reimbursement Guide" The diagnosis code you should use is 733.01 (senile ostoeporosis, postmenopausal osteoporosis). The HCPCS code is J1740 per 1 mg ( 3mg=3mL), therefore you would use 3 units. The NDC code is 0004-0188-09. And finally the administration code is 90774. Hope this helps, our drug rep for Boniva gave me this guide not long ago.
 

mcubed1205

Contributor
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14
Location
Tampa, Florida
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Boniva medication

:confused: I noticed that you were going to bill for the Boniva medication. Is that working for you, and if so, are you getting reimbursed within a timely period.
 

ssteele

Contributor
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We are actually having the patient pick up the medicine from the pharmacy and then bringing it into the office for the infusion. We are getting paid for the infusions.
 

jenochsAR

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How did you code for that when the patient bring in their own medicine, for the infusion only? Medicare denied us.
 
Last edited:

ollielooya

True Blue
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900
Location
Everett, WA
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Thanks for supplying the information, just make sure you update the 90774 admin code as this particular one is no longer valid.
 
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