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Thread: Billing for Reclast

  1. #1

    Default Billing for Reclast

    AAPC: Back to School
    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,

  2. #2
    Join Date
    Apr 2007

    Smile 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

  3. #3
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    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.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  4. #4


    What seems to be the problem? I help with a Rheumatologist and we use this drug quite a bit.

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