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Thread: reclast

  1. #1

    Default reclast

    Dose anyone know HCPCS for generic Reclast?

    Margaret

  2. #2

    Default

    J3488

  3. #3

    Smile Reclast

    As of July 1st is will be Q2051, per the CMS website.

  4. #4

    Default Reclast J3488 VS Q2051

    I want to be certain I understand, this is merely an internal code change. Q2051 is to be reported whether we use name or generic brand. Correct?

    J3488: injection, Zoledronic Acid (Reclast), 1 mg, should be reported until June 30, 2013.
    Q2051: injection, Zoledronic Acid, not otherwise specified, 1 mg, should be reported beginning July , 2013.

    Any help will be greatly appreciated! Thank you!
    Last edited by lcathey@smsc.org; 07-15-2013 at 11:57 AM. Reason: clarification

  5. #5

    Default

    Would the change only apply for Medicare patients or for all payers?
    Last edited by YesicaRuedas; 07-16-2013 at 03:17 PM. Reason: Double post

  6. #6

    Default

    Would the change only apply for Medicare patients or for all payers?

  7. #7

    Default

    The CMS code change should apply to only Medicare, Medicare Advantage plans, and Medicaid. Some other commercial payers may also require the new CMS code. You will have to contact them individually to find out.

  8. #8

    Default

    So we will bill this code for either medicine given? I can not find anything to say otherwise

  9. #9

    Default

    Go search for MLN Matters Number MM8286. It provides instruction on replacing J3487 (Zometa) and J3488 (Reclast) with Q2051 (generic zoledronic acid) effective 07/01/2013.

    Both Reclast and Zometa have the same active ingredient. The difference was only in the dosage and packaging. For payers that include Medicare or following Medicare, they should be accepting the new Q code. Contact individual payers to be certain. And watch your doses.


  10. #10

    Default

    2017 ICD-10-CM Coding Book
    The dosing is the same, per 1 mg. I have a few claims from Medicare that denied after July 1, but BCBS is still paying with the J3488 code. This code has only been deactivated with Medicare (thus far at least ).

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