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Thread: Denosumab Billing

  1. #1

    Default Denosumab Billing

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Hartford, CT


    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. #3


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

  4. #4


    CGS had an article for Xgeva as well.

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