CPT^® 90696, Under Vaccines, Toxoids

The Current Procedural Terminology (CPT^®) code 90696 as maintained by American Medical Association, is a medical procedural code under the range - Vaccines, Toxoids.

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Summary

This code represents a combination vaccine product administered into the muscle to protect young children (4 to 6 years of age) against diphtheria, tetanus, pertussis (whooping cough), and polio.

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90696 for patients outside of 4-6 years old

[b]90696[/b] The introductory text to the vaccine codes explains that the "when administered to" age descriptions included in CPT code descriptions are not intended to identify a product's licensed a... [ Read More ]

90696 for patients outside of 4-6 years old audit compliance cpt family practice vaccines

Hello, The nurse at our clinic who administers vaccines sometimes admins a 90696 for kids outside of the 4-6 age rage. She says it's due to patients being behind on their vaccines and circumstances ... [ Read More ]

90460 +90461

You are correct. 90460 for vaccine counseling for the shot (or first component if there's more than one) and 90461 for each additional component. MMR would have 2 additional components, Tdap would ha... [ Read More ]

need help pls! modifiers

I think the problem may be that you are mixing codes. 90460 is the admin of the first antigen of a vaccine with counseling under age 18. 90471 is the admin of a vaccine without counseling any age or... [ Read More ]

need help pls! modifiers

hi i need help pls ive been having problems with ncci edits especially billing amerigroup insurance , what modifiers to use in billing pediatrics, i really need advice pls on how to bill this one . ... [ Read More ]

90696 for less than 4 years old

I have a patient who was 2 days shy of his 4th birthday, when he got this 90696, which is denying "due to patient's age". Is there any way to get this paid? I'm not seeing it. I don't see any other im... [ Read More ]

He's 7, got a shot for a 6 year old.

Good morning! Is there a modifier for this? He was seen as a 99393 age 5-11 established patient, V20.2 just a checkup and he is 7 years old; and he got a shot 90696 which is for ages 4-6. The doc set ... [ Read More ]

90696

[b]Medical Billing Specialist III[/b] Is there a more current code for 90696 kinrix... [ Read More ]

90696 for 8 year old

the vaccine 90696 (DTaP-POL (KINRIX) (Diphtheria, tetanus, acellular pertussis, polio) was administered to an 8 year old. The code states to use this code when administered to children 4-6 years of... [ Read More ]

Cpt 90715 with 90471 - Can anyone tell me

Depending on your jurisdiction, the AT modifier should be applied. "For tetanus and rabies vaccines to be covered for payment, the patient must have undergone a recent injury or direct exposure. Prov... [ Read More ]

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