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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: to view the Chemotherapy and Biological policy (L31836) and the Densumab article (A50745).

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