Is the diagnosis of hypercalcemia (ICD-9-CM 275.42) sufficient to support payment for Pamidronate Disodium?
No. Pamidronate Disodium for hypercalcemia that is not associated with malignancy or the other approved diagnosis will be denied. The provider must use the diagnosis, or other approved diagnoses which reflects the reason for use of Pamidronate. The codes used are to be carried out to the highest level of specificity and selected from the ICD-9-CM code book and appropriate to the year in which the service is rendered for the claim submitted.
