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CMS Increases COVID-19 Vaccine Admin Fee

New payment rates are effective immediately. The Medicare payment amount for administering the COVID-19 vaccine is increased, effective March 15, 2021. The national average for physicians, hospitals, pharmacies, and other immunizers to administer the COVID-19 vaccine is now approximately $ 12 more for the administration of single-dose vaccines and $ 35 more for the the administration of […]

The post CMS Increases COVID-19 Vaccine Admin Fee appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Coding for tb tests admin and reads

Hi guys!

My company seems to have differing opinions on when and how to code for a tb test. We agree you use code 86580 but some of us think you should bill it out when the pts comes back for the reading and some think it is appropriate to bill it at the admission. Also, in researching on the internet I have seen that some say you can bill the 86580 at the admission of the test and bill a 99211 for the reading and others say the reading is included in 86580. Does anyone have a definitive answer on this?

Thanks!
Linda T.

Medical Billing and Coding Forum

Question regarding Admin code fro Tdap

Hoping someone can clear the air for me please I understand the use of 90471 as used to indicate administration of a vaccine for people over age 18 Currently we are not using 90472 for the components of the Tdap (diphtheria and pertussis ) I was told we just don’t bill admin code for the components on Tdap.
Just wondering if this is correct and why you wouldn’t use a 90472 x2
Cheri-CPC-A
Appreciate very much any assistance

Medical Billing and Coding Forum

Modifiers with Level 5, prolonger service, fingerstick, and flu vax and admin

Hi all,

One of our providers is billing:
99215 – level 5 established patient e/m
99354 – prolonged service
82962 – glucose fingerstick
90661 – flu vaccination
90471 – vaccine administration

What I am confused on is what modifiers to use in this situation, and where. I believe 59 would go on the vaccine admin, but would 25 go on 99215? Would anything need to go on the finger stick as well?

Any help would be appreciated!

Thank you,
Mandy

Medical Billing and Coding | AAPC Forum