vaccination and admin

  1. E

    Wiki Billing Well and Vaccines

    If the patient has private insurance and Medicaid as Secondary. Can the patient receive VFC? If they can, can we bill the vaccine codes to private insurance with a 0.00 charge and modifier SL indicating they are state-supplied vaccines? And only receive reimbursement for the well exam and...
  2. A

    Wiki MPOX BILLING - 90611, 90622, 90472

    In CA, managed care plans are to reimburse providers for the administration of Monkeypox vaccine with 90472. However, 90472 is an add-on code. How are other coders billing the monkeypox vaccine and administration?
  3. J

    Wiki How to Code for 4th COVID Vaccine shots?

    Hello Everyone, Because the FDA just approved Moderna/Pfizer on the 4th shot, I am having difficulty finding any materials on the subject. Based on the existing codes, I would assume the following: Pfizer: 91300 - Vaccine 0004A - Injection Booster Moderna: 91306 - Low Dose Vaccine 0064A -...
  4. M

    Wiki Modifiers with Level 5, prolonger service, fingerstick, and flu vax and admin

    Hi all, One of our providers is billing: 99215 - level 5 established patient e/m 99354 - prolonged service 82962 - glucose fingerstick 90661 - flu vaccination 90471 - vaccine administration What I am confused on is what modifiers to use in this situation, and where. I believe 59 would go on...
    • MandyBMC
    • Thread
    • e/m modifier modifiers prolonged service vaccination and admin
    • Replies: 5
    • Forum: Modifiers
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