HCPCS code J3489 — Zoledronic acid 1mg. Status: Active. Effective Jan 1, 2018. Source: CMS HCPCS Level II.

J3489

Active

Zoledronic acid 1mg

Injection, zoledronic acid, 1 mg

Category: Drugs

Section: J-codes: Drugs Administered Other Than Oral Method

Effective: Jan 1, 2018

Code type: alphanumeric

OPPS Status: N — Items / services packaged into APC rates

Drug class: Bisphosphonates

Maximum units of J3489 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type	Max Units / Day	Adjudication	Rationale
DME Supplier	0	3 — Date of Service Edit: Clinical	CMS Policy
Outpatient Hospital	5	3 — Date of Service Edit: Clinical	Prescribing Information
Practitioner Services	5	3 — Date of Service Edit: Clinical	Prescribing Information

Source: CMS Medicare NCCI Medically Unlikely Edits

National Drug Codes (NDCs) mapped to this HCPCS code.

Search Medicare's official policy database for Local (LCD) and National (NCD) Coverage Determinations covering this code.

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Data sourced from CMS. Updated quarterly.

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