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Denosumab Billing

  1. Default Denosumab Billing
    Medical Coding Books
    We are trying to get Medicare guidelines on Denosumab but unfortunately we can not find them. Can anyone help me with the CMS guidlines for Denosumab?

  2. #2
    Location
    Hartford, CT
    Posts
    723
    Default
    I don't know where you're located but NGS has an LCD (L25820-Drugs and biologicals, coverage of, for label and off-label use) and an accompanying article (A50361-Article for Denosumab). This applies to areas covered by NGS, if you're under a different MAC you would have to check for their LCDs.

  3. Default
    Thank you for your help!! I found it...

  4. Default
    CGS had an article for Xgeva as well.

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