ETIDRONATE DISODIUM J Code: J1436
Injection, etidronate disodium, per 300 mg
Drug & Product Overview
About ETIDRONATE DISODIUM
Etidronate Disodium is a medication aligned to the HCPCS J Code: J1436 for billing, pricing, and reimbursement purposes in the United States. Classified under Osteoporosis, it is administered via the intravenous route.
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NDC Code Information
No NDC packages are aligned to J1436 in publicly available CMS files.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| No public NDC alignments | ||||
ETIDRONATE DISODIUM Pricing & Reimbursement
National median reimbursement across major commercial payers.
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ETIDRONATE DISODIUM CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Etidronate Disodium (J1436) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1436. Wastage billing guide →
ETIDRONATE DISODIUM Medically Unlikely Edits (MUE)
The most billing units of J1436 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 300 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
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Frequently Asked Questions
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