What is the ICD 10 code for Prolia injection?
Coding Information: The administration of denosumab, when billed, should be billed using the therapeutic administration code 96372 (Therapeutic prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular. Correct coding requires that a bone metastasis diagnosis (ICD-10-CM code C79.
Is denosumab generic for Prolia?
Denosumab is the generic name for the trade name drugs Prolia or Xgeva. In some cases, health care professionals may use the trade names Prolia or Xgeva when referring to the generic drug name denosumab.
What diagnosis covers Prolia?
Prolia® is contraindicated in women who are pregnant and may cause fetal harm. In women of reproductive potential, pregnancy testing should be performed prior to initiating treatment with Prolia®. Prolia® is contraindicated in patients with a history of systemic hypersensitivity to any component of the product.
What is the generic name for Prolia?
Generic Name: denosumab This medication works by slowing bone loss to help maintain strong bones and reduce the risk of broken bones (fractures). Denosumab belongs to a class of drugs called monoclonal antibodies.
What is Prolia used to treat?
Denosumab injection (Prolia) is used to treat bone loss in men who are being treated for prostate cancer with certain medications that cause bone loss, to treat bone loss in women with breast cancer who are receiving certain medications that increase their risk for fractures.
What is the Medicare allowed amount for Prolia?
For eligible patients, program covers the amount of OOP cost for Prolia® that exceeds $25, up to a maximum benefit of $1,500 per patient, per 12-month enrollment period.
When should you not give denosumab?
Patients with rare hereditary problems of fructose intolerance should not use denosumab. This medicinal product contains less than 1 mmol sodium (23 mg) per 60 mg i.e. essentially ‘sodium-free’.
Can you ever stop taking Prolia?
Yes, if recommended by your doctor, you can stop taking Prolia. But doing so can cause more bone breakdown and increase your risk for bone fractures. In fact, bone breakdown is higher in the first several months after you stop Prolia. If you want to stop taking Prolia, tell your doctor.
Who shouldnt take Prolia?
People with weakened immune systems are advised not to use to denosumab because it can lead to serious infections that require hospitalization (such as heart infections). It can also cause disintegration of the jaw, called osteonecrosis, and atypical femur fractures.
How does Prolia affect your teeth?
Prolia may cause bone loss (osteonecrosis) in the jaw. Symptoms include jaw pain or numbness, red or swollen gums, loose teeth, gum infection, or slow healing after dental work. Osteonecrosis of the jaw may be more likely if you have cancer or received chemotherapy, radiation, or steroids.