for the vaccination given to newborn that is BCG & Hepatitis B with physician counselling the correct code will be 90460 & 90461 or 90460 x 2
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Tag Archives: Immunization
fee schedule for immunization for medicaid
medicaid fee schedule for immunization is $ 10- $ 20 . so can we claim $ 20 for every shot for medicaid even though commercial insurance has different fee schedule ?
NDC# with Pediatric Immunization
Hi,
We aren’t reporting NDC numbers with Immunization Procedures for a Pediatric clinic. Almost all payers are paying them without the issue, we saw a recent denial from a commercial payer for missing NDC number on a claim for Flu vaccine. Having said that I just want to confirm the general concept of reporting NDC with vaccination codes. Is it required for all payers, commercials or govt. payers? can we get away with this ? or should we be getting recoupements at some point for missing NDCs paid claims?
Thanks!
Stay Up to Date with Immunization Administration Claims
Perfect coding isn’t hard if you follow the rules — give it a shot. August is National Immunization Awareness Month (NIAM). According to the Centers for Disease Control and Prevention (CDC), “NIAM was established to encourage people of all ages to make sure they are up to date on the vaccines recommended for them.” Here’s […]
AAPC Knowledge Center
Immunization administration coding
As a pediatric office we often given multiple vaccines during a single visit. Some are combination vaccines like DTaP and some are single vaccines like Hep A. Assuming we give a DTaP and Hep A in one visit (which happens frequently), is it appropriate to use the 90460 first component for combination vaccine plus 90461 x 2 for the additional 2 components of the DTaP, and then 90471 for the Hep A or should it be 90472?
Thank you for your help.
C.D’Esposito, RN
Thank you for your help.
C.D’Esposito, RN