INSTRUCTIONS FOR PROLIA PATIENTS
If your insurance carrier has changed, please notify our office so that we may update our records and determine whether treatment is a covered benefit under your new insurance plan. This must be done at least 1-2 weeks prior to your appointment. Our office will verify your insurance and obtain authorization, should you wish to check with your insurance carrier for coverage requirements and any out of pocket expenses (deductible, copay, co-insurance) you have that option. Obtaining this information from your insurance company can help you make an informed decision on whether or not you choose this type of treatment. The codes that your insurance may ask you for are:
Prolia – J0897, Prolia administration code – 96372.
A blood test must be done prior to each treatment to be sure it is safe to proceed with the treatment. Please fill out the top portion of the laboratory request form that is mailed to you and take to the lab to have your blood drawn ASAP, to ensure we have all tests done by your scheduled appointment. We may reschedule your appointment should your labs not be done at least 2 weeks prior to your appointment. We suggest you use an outpatient lab facility covered by your insurance. You do not need to fast. The lab will send the results to us within several days. Our office will contact you if any concerns arise with your blood/lab work.
BONE DENSITY TESTING
Periodic measurement of your bone density is the most common method for evaluating response to treatment. Stability or an increase in bone density is an acceptable response, while a significant loss of bone density is usually cause for concern and further evaluation. You will be seen by one of our providers at the time of your visit so that you will have an opportunity to ask questions about osteoporosis and your treatment. If you have additional questions, please call 505-855-5525 and leave a message for the treatment coordinator.
**If you don’t have your order form for the labs we have it available for you to print (below), complete, and take to the lab. You will be asked to put a check mark next to the name of your provider on the left side of the form.