HCPCS J-code
J0897: denosumab
Denosumab 1 mg
Code
J0897
Generic
denosumab
Brands
Prolia, Xgeva
Drug class
Biologic drugs (mAbs and biosimilars)
Common denial patterns
- BMD T-score threshold (Prolia)
- Bone metastases documentation (Xgeva)
- Frequency
Frequently asked questions
What is HCPCS J0897?
Denosumab 1 mg
Why does insurance commonly deny J0897?
BMD T-score threshold (Prolia); Bone metastases documentation (Xgeva); Frequency.
What brand-name drug uses J0897?
Prolia, Xgeva.
Related
Appeal a J0897 denial
Upload the denial — we draft the appeal letter in 5 minutes citing the right clinical guideline.
Get started →Contact: hello@approvalhelp.com