October 16, 2012
Denosumab (Prolia, Xgeva) Update
Effective October 01, 2012, ICD-9-CM requirements have changed for Denosumab (Prolia). Covered diagnosis for this drug are; 198.5, 733.00, 733.01, 733.02, or 733.09.
Please refer to the CGS website at: http://www.cgsmedicare.com to view the Chemotherapy and Biological policy (L31836) and the Densumab article (A50745).