Click here for more sample CPC practice exam questions with Full Rationale Answers

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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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UHC – Reimbursement Update to Vaccines for CPT 90461


As part of the Patient Protection and Affordable Care Act (PPACA) regulations, CPT code 90461 is not reimbursable for vaccines administered to Medicaid members through the Vaccines for Children (VFC) program in Florida. Beginning Aug. 15, 2019, any claim line billed for this code will be denied

Source: https://www.uhcprovider.com/content/provider/en/viewer.html?file=%2Fcontent%2Fdam%2Fprovider%2Fdocs%2Fpublic%2Fresources%2Fnews%2F2019%2Fnetwork-bulletin%2FSeptember-2019-Network-Bulletin.pdf

Also click here to review the state wise guidelines


Coding Ahead

90460 +90461

I attended a webinar for Sanofi and they they were actually explaining how to bill and get reimburse for VCF vaccines.

so example MMR vaccine would be billed as follows;
90707 (3 components)
90460 x2
90461 x1

and other example
90697 (6 components)
90460 x1
90461 x5

so we are getting paid base on the components of the vaccine? So my provider thinks if we give 1 vaccine we would bill for 1 administration code and 1 vaccine regardless of the components.

i need clarification maybe examples please help

Medical Billing and Coding Forum