gcohen
Guru
Any receiving denials that this vaccine is experimental?
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Wiki 90619
- Thread starter gcohen
- Start date
rthomas@impcna.com
Expert
Are you sure you are using the correct code? Which meningococcal vaccine do you administer? We give both Bexsero, 90620 and Menactra, 90734 in our clinic.
gcohen
Guru
yes, Meningococcal A,C,Y,W conjugate
rthomas@impcna.com
Expert
I was only asking since both 90619 & 90734 both have Meningococcal conjugate vaccine, serogroups A, C, W, Y in their description.
90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use
90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use
Are you getting this denial from more than one insurance payer? If it is just one payer I would suggest reaching out to them. I looked at a few of our major payer websites and they indicate that 90619 is a covered vaccine.
90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use
90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use
Are you getting this denial from more than one insurance payer? If it is just one payer I would suggest reaching out to them. I looked at a few of our major payer websites and they indicate that 90619 is a covered vaccine.