What are the uses of J0897?
Asked by: Sasha Kub | Last update: June 6, 2025Score: 4.6/5 (18 votes)
What is the CPT code J0897 used for?
Coding Information:
HCPCS code J0897 should be used to report denosumab (Prolia™, Xgeva™) for claims submitted to the Part A and Part B MAC.
Why would someone need a Prolia injection?
Prolia® is a prescription medicine used to treat osteoporosis in women after menopause who are at high risk for fracture or cannot use another osteoporosis medicine or other osteoporosis medicines did not work well.
How long can you stay on Prolia injections?
If you start Prolia injections, you should plan on being on the treatment for life. Discontinuing Prolia usage (without going onto another pharmaceutical to maintain the gains you made) could have serious, irreversible side effects.
Which is safer, Fosamax or Prolia?
And when comparing Prolia versus Fosamax, Prolia may be preferred for people who are at very high risk for fracture. The most common side effects of Boniva and Fosamax are gastrointestinal symptoms like indigestion, nausea, and diarrhea.
Denosumab Injection: Uses, Dosage, Mechanism of Action, Side Effects, and Important Advice
Why do doctors push Prolia?
Prolia® has been proven to help strengthen and protect your bones from the risk of fracture.
What is the best osteoporosis medication with the least side effects?
Intravenous forms of bisphosphonates, such as ibandronate and zoledronic acid, don't cause stomach upset. And it may be easier for some people to schedule a quarterly or yearly infusion than to remember to take a weekly or monthly pill.
What are the three worst bone density drugs?
- Synthetic Glucocorticoids (e.g. Prednisone) ...
- Breast Cancer Drugs. ...
- Prostate Cancer Drugs. ...
- “Heartburn” Drugs. ...
- Depo-Provera. ...
- Excessive Thyroid Hormone Replacement. ...
- Anti-seizure and Mood-altering Drugs. ...
- Blood Pressure Medication.
What is the downside to Prolia?
Common Prolia (denosumab) side effects include aches and pains in your muscles and bones. These are typically mild and can be managed at home. Rare but serious Prolia side effects include low blood calcium levels, thigh bone fractures (breaks), and osteonecrosis of the jaw.
What is the best drink for bone density?
- 8 ounces of orange juice fortified with calcium and vitamin D.
- A mixture of fortified orange juice and seltzer or club soda that's free of phosphoric acid.
What drugs should not be taken with Prolia?
- calcimimetic agents such as cinacalcet.
- chemotherapy agents, such as cyclophosphamide, methotrexate, or bleomycin.
- corticosteroids (such as prednisone or dexamethasone)
- immunosuppressants (such as azathioprine, cyclosporine, or tacrolimus).
Which fruit is best for bones?
Figs contain minerals and vitamins that are essential for bone health. One cup of stewed figs has about 180 milligrams of calcium, plus some vitamins C and vitamin K. Raw figs are low in calories and high in fiber, so they're good for your diet—a couple of raw figs can give you about 24 milligrams of calcium.
What is the gold standard treatment for osteoporosis?
Bisphosphonates. For both men and women at increased risk of broken bones, the most widely prescribed osteoporosis medications are bisphosphonates. Examples include: Alendronate (Binosto, Fosamax).
How often will Medicare pay for Prolia injections?
95% of Medicare Part D patients have access* to Prolia
The average out-of-pocket (OOP) cost for Prolia ® through Medicare Part D is $276‡ every 6 months, which equals $46 per month.
How many Prolia shots are required?
Prolia should be administered by a healthcare professional. The recommended dose of Prolia is 60 mg administered as a single subcutaneous injection once every 6 months.
What is the controversy with Prolia?
Denosumab (Prolia) goes even further in interfering with immune factors to prevent the natural process of bone breakdown and renewal: A full 6% of those who use Prolia will develop a spontaneous vertebral fracture after stopping the drug, unless they're put immediately on a strong bone drug like Reclast to halt bone ...
What do dentists say about Prolia?
Recent studies indicate an association between Prolia use and an increased risk of complications, including osteonecrosis of the jaw, following dental procedures.
Can you ever get off Prolia?
Stopping Prolia injections can cause a rebound increase in bone turnover which increases risk of multiple vertebral fractures. Do not stop taking Prolia injections without first discussing this with your prescribing health professional.
What is the new drug for osteoporosis in 2024?
Abaloparatide is an anabolic drug and works in a slightly different way to many other drug treatments by stimulating bone formation. This new alternative has the potential to change thousands of lives by keeping people safe from life-changing spinal fractures and broken hips.
Are bananas good for osteoporosis?
Are bananas bad for osteoporosis? There is no proven link between bananas and worsened osteoporosis symptoms. In fact, bananas, rich in potassium, may benefit bone health by helping to conserve calcium, crucial for strong bones.
What is the safest osteoporosis drug to take?
Teriparatide and abaloparatide are safe and generally well-tolerated medications.
What is the new alternative to Prolia?
FDA approved Jubbonti (denosumab-bbdz) injection as an interchangeable biosimilar to U.S.-licensed Prolia (denosumab), and Wyost (denosumab-bbdz) injection as an interchangeable biosimilar to U.S.-licensed Xgeva (denosumab).
Can I live to 90 with osteoporosis?
Does osteoporosis affect life expectancy? Osteoporosis is not a terminal illness and does not directly influence life expectancy. However, having a fracture can affect it. For example, a 2021 study found that older adults living in a care facility who experienced a hip fracture had a 25% death rate after 3 months.
What should you not drink if you have osteoporosis?
People with osteoporosis should avoid foods with added sugar, excess sodium, and saturated fat—as well as soda, alcohol, and caffeine.