I have researched this exhaustively. Does Medicare pay for the Tdap (90715)? I know they will pay for the TD (90714) if there is a injury. But will they pay for the TDap (90715) if there is a injury? The LCD is confusing to me. It sounds like they will pay for it if the pt doesn’t know if they have ever had a Tdap and they have a injury and are at risk. But…..can I bill it? Or does the pt have to use their Part D Medicare to buy it at a pharmacy??? I am so confused. Please help. Thank you!!
P.S. Does anyone ever use the AT modifier??