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Thread: Reclast J3488

  1. #1

    Red face Reclast J3488

    AAPC: Back to School
    Is anyone doing this in their office? Any problems?

    Also, do you use the 96365 for the injection?

    Rhonda Green, CPC

  2. #2
    Join Date
    Apr 2007
    Raleigh, NC

    Default Reclast J3488

    Hello Rhonda,

    We have been doing Reclast in our office for a year now. I have only had a few problems with benefits being verified incorrectly. And the patient having to owe more than expected & getting upset with us. We are using the verification service that is provided through Reclast. However, we are now giving the patient a hand out with procedure & diagnosis & telling the patient to call there benfits as well.
    For Reclast we bill 96365 J3488 x 5 & J7050.
    Just make sure you check your reimbursement rates with each insurance carrier. We have one carrier that will not even reimburse enough to cover the cost for the medicine.

    Good luck - Michelle

  3. #3


    thank you so much for the info....have a great day
    Rhonda Green, CPC

  4. #4
    Join Date
    Apr 2007


    is this still 1x a year or is it every 2 years?
    Thank you

    Tammy Simes, cpc

  5. #5
    Join Date
    Apr 2007


    Would you happen to know a dx code I could use if the patient does not have osteoporosis/osteopenia but the fracture risk is high?

    Any help would be appreciated.

    Vanessa Ramirez, CPC

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