J0897 Denosumab injection
Also known as: Xgeva, Prolia, denosumab
Denosumab injection, a receptor activator of nuclear factor kappa-B ligand inhibitor for prevention of skeletal complications in cancer and osteoporosis.
In Plain Language
Medicine to strengthen bones
Clinical Context
Used for prevention of bone metastases in patients with cancer and for treatment of osteoporosis in postmenopausal women and men at high fracture risk.
RVU Information
CPT J0897 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J0897?
CPT J0897 (Denosumab injection) is a J Codes (Drugs) code. Denosumab injection, a receptor activator of nuclear factor kappa-B ligand inhibitor for prevention of skeletal complications in cancer and osteoporosis.
How is J0897 administered?
CPT J0897 is administered by a healthcare provider, typically via injection or infusion. Used for prevention of bone metastases in patients with cancer and for treatment of osteoporosis in postmenopausal women and men at high fracture risk. It is used by Oncology, Rheumatology, Internal Medicine.
When is CPT J0897 used?
Used for prevention of bone metastases in patients with cancer and for treatment of osteoporosis in postmenopausal women and men at high fracture risk.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.