Pediatric Coding Alert

Vaccines:

Timing and Patient Age Make All the Difference When Giving Catch-Up Immunizations

Check out the new V code that helps you explain catch-up immunizations to your payers.If your practice sees a new 8-year-old patient who has never received a vaccine and her mother now wants to start the process, how should you bill Medicaid when the vaccines aren't age appropriate?"This situation is not uncommon, but when it happens it's important to catch up as quickly as possible," says Richard L. Tuck, MD, FAAP, a pediatrician at PrimeCare of Southeastern Ohio in Zanesville.The next time you're faced with a similar scenario, follow our experts' advice for an easy transition on all sides.The Patient's Age Guides Vaccines -- And Your CodingWhether you're coding for a child who's behind schedule or starting late, the child's age helps guide the vaccinations. Remember: "Falling behind schedule" means the child is more than one month late with a vaccine, according to the American Academy of Pediatrics (AAP) and the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pediatric Coding Alert

View All