What is the CPT code J0897 used for?
Asked by: Tyrell Streich | Last update: May 28, 2025Score: 4.2/5 (38 votes)
What is CPT J0897 used for?
HCPCS code J0897 for Injection, denosumab, 1 mg as maintained by CMS falls under Drugs, Administered by Injection .
What is a Prolia approved diagnosis?
Prolia is indicated for the treatment of postmenopausal women with osteoporosis at high risk for fracture, defined as a history of osteoporotic fracture, or multiple risk factors for fracture; or patients who have failed or are intolerant to other available osteoporosis therapy.
What is the denosumab injection used for?
Denosumab injection is used to treat osteoporosis (thinning of the bones) in women who have an increased risk for fractures after menopause, and osteoporosis in men. It is given when other medicines cannot be used or after other medicines did not work well.
How to bill J0897 to Medicare?
When submitting the claim, remember to: Bill 60 units of J0897 with administration HCPCS 96372 (Therapeutic prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular). J0897 is for 1 mL. Prolia is administered in a single-dose prefilled syringe of 60mg/mL.
CPT Code 97110 vs CPT Code 97530 | Medicare Billing & Documentation
What is the Prolia injection used for?
Prolia® helps stop the development of bone-removing cells before they can reach and damage the bone. Prolia® is the first and only treatment for postmenopausal women with osteoporosis at high risk for fracture that is given as a shot just under the skin, once every 6 months, in your doctor's office.
What is the difference between Prolia and denosumab?
Denosumab is a type of targeted drug called a monoclonal antibody. It is also known as Prolia and Xgeva. You pronounce denosumab as den-oh-sue-mab. It is a treatment for secondary bone cancer (cancer that has spread to the bones).
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.
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.
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.
How many years is Prolia given for?
There is no recommended time of treatment for Prolia Injections, clinical studies have often been three years and at least one study went for 8 years. The longer you take Prolia Injection the bigger the improvement in fracture risk when compared to placebo.
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.
Why is Prolia so expensive?
Prolia is not safe during pregnancy. There is no generic version of Prolia at this time. Therefore, Prolia can be costly.
What is denosumab to Prolia?
Denosumab (also known as Prolia®) is a drug treatment for osteoporosis. It can help to strengthen bones, making them less likely to break. It is given as an injection every six months.
What diagnosis is Prolia for?
Prolia® is indicated for the treatment of postmenopausal women with osteoporosis at high risk for fracture, defined as a history of osteoporotic fracture, or multiple risk factors for fracture; or patients who have failed or are intolerant to other available osteoporosis therapy.
What is the new drug to replace Prolia?
Action. 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).
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.
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.
Why do doctors push Prolia?
Prolia® has been proven to help strengthen and protect your bones from the risk of fracture.
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 safest osteoporosis drug to take?
Teriparatide and abaloparatide are safe and generally well-tolerated medications.
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.
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).
What is the gold standard treatment for osteoporosis?
Bisphosphonates are often the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel, Atelvia), a weekly or monthly pill.