In Coding
Aug 21st, 2014
When immunizations are performed, you should submit codes for both the administration and vaccine supply; however, a code for the vaccine is not reported if the vaccine is given to the provider for free, the patient brings the supply, or the supply is provided as part of a clinical trial. There are three sets of ...
In Billing
Mar 16th, 2012
UnitedHealthcare has expanded its coverage of Gardasil®. Effective Feb. 1, 2012, the insurer will cover the HPV4 vaccine for both females and males aged 9-26 years, according to UnitedHealthcare’s March 2012 Network Bulletin. This coverage is based on new recommendations made by the Advisory Committee on Immunization Practices (ACIP) in October 2011 for Human Papillomavirus Quadrivalent (Ty...
In Billing
Feb 10th, 2012
Effective for claims processed with dates of service on or after Jan. 1, 2011, Outpatient Prospective Payment System (OPPS) providers should report HCPCS Level II code G0010 Administration of hepatitis b vaccine for the administration of hepatitis b vaccine, rather than CPT® 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine ...
Jul 1st, 2011
With so much information to sift through, counseling and coding become more challenging than ever. According to the April 2011 Parents Magazine, 40 percent of school age children are behind on their vaccines. Measles, mumps, whooping cough, and other diseases once nearly eradicated in the United States are again on the rise. The culprit is ...
In Billing
Apr 1st, 2011
How you should report hepatitis B vaccine administration to Medicare patients in an outpatient facility setting has changed. Beginning April 1, Medicare claims processing systems no longer recognize CPT® codes 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) and 90472 Immunization adm...