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Primary Care Coding Alert

Reader Question:

Verify 2 Factors Before Choosing Hepatitis A Vaccine Code

Published on Thu Apr 05, 2012

Question: One of our payers has denied the second shot of a hepatitis A vaccine as a duplicate and has asked us to correct the claim. How do I explain in my coding that the hepatitis A vaccine consists of two doses? Wisconsin SubscriberAnswer: Whether you administer two or more doses of the hepatitis A vaccine depends on the patient's age. Code 90632 (Hepatitis A vaccine, adult dosage, for intramuscular use) is the single-dose vaccine for adults ages 18 and older. There are two codes for pediatric/adolescent Hepatitis A vaccines. Code 90633 (Hepatitis A vaccine, pediatric/adolescent dosage-2 dose schedule, for intramuscular use) is the two-dose administration for children or adolescents under age 18. Code 90634 (Hepatitis A vaccine, pediatric/adolescent dosage-3 dose schedule, for intramuscular use) is the corresponding three-dose administration.When you report 90633, the payer knows you'll be administering two doses of the vaccine within a certain timeframe. Some payers specify [...]
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