-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki 90696 for less than 4 years old
- Thread starter efuhrmann
- Start date
RebeccaWoodward*
True Blue
It seems you have to use an unlisted code...Any other takers?
You Be the Coder: DTaP-IPV Booster Receives Own Code
Question: What is the CPT code for Kinrix?
Answer: You should use new code 90696 (Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated [DTaP-IPV], when administered to children 4 through 6 years of age, for intramuscular use) with V06.3 (Need for prophylactic vaccination with diphtheria-tetanus-pertussis with poliomyelitis [DTp + polio] vaccine). CPT 2009 established the code to report a combination vaccine to protect against pertussis (whooping cough), diphtheria, tetanus, and poliomyelitis (polio) in a single injection.
Kinrix combines the DTaP (diphtheria, tetanus toxoids, and acellular pertussis) and IPV (poliovirus inactivated) vaccines. You previously had no code that represented this combination. Because CPT disallows coding each component of a combination vaccine separately, such as reporting the DTap portion with 90700 (Diphtheria, tetanus toxoids, and acellular pertussis vaccine [DTaP], when administered to individuals younger than 7 years, for intramuscular use) and the IPV component as 90713 (Poliovirus vaccine, inactivated [IPV], for subcutaneous or intramuscular use), you had to use an unlisted procedure code (meaning 90749, Unlisted vaccine/toxoid), per CPT’s "Vaccines, Toxoids" instructions.
http://medicalnewswire.com/artman/publish/cat_index_44.shtml
You Be the Coder: DTaP-IPV Booster Receives Own Code
Question: What is the CPT code for Kinrix?
Answer: You should use new code 90696 (Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated [DTaP-IPV], when administered to children 4 through 6 years of age, for intramuscular use) with V06.3 (Need for prophylactic vaccination with diphtheria-tetanus-pertussis with poliomyelitis [DTp + polio] vaccine). CPT 2009 established the code to report a combination vaccine to protect against pertussis (whooping cough), diphtheria, tetanus, and poliomyelitis (polio) in a single injection.
Kinrix combines the DTaP (diphtheria, tetanus toxoids, and acellular pertussis) and IPV (poliovirus inactivated) vaccines. You previously had no code that represented this combination. Because CPT disallows coding each component of a combination vaccine separately, such as reporting the DTap portion with 90700 (Diphtheria, tetanus toxoids, and acellular pertussis vaccine [DTaP], when administered to individuals younger than 7 years, for intramuscular use) and the IPV component as 90713 (Poliovirus vaccine, inactivated [IPV], for subcutaneous or intramuscular use), you had to use an unlisted procedure code (meaning 90749, Unlisted vaccine/toxoid), per CPT’s "Vaccines, Toxoids" instructions.
http://medicalnewswire.com/artman/publish/cat_index_44.shtml
http://www.drugs.com/ppa/diphtheria...-poliovirus-combination-vaccine-dtap-ipv.html
"Safety and efficacy not established in children younger than 4 yr of age or children 7 to 16 yr of age."
According to this it is not meant for any other age range.
Laura, CPC, CEMC
"Safety and efficacy not established in children younger than 4 yr of age or children 7 to 16 yr of age."
According to this it is not meant for any other age range.
Laura, CPC, CEMC
RebeccaWoodward*
True Blue
Elizabeth,
What was your vaccination combination?
What was your vaccination combination?
RebeccaWoodward*
True Blue
Indications and Guidance for Use
DTaP-IPV (Kinrix) is indicated for use as the fifth dose of DTaP and fourth dose of IPV in children aged 4 -- 6 years who received DTaP (Infanrix) and/or DTaP-Hepatitis B-IPV (Pediarix) as the first 3 doses and DTaP (Infanrix) as the fourth dose (1,2). This vaccine should not be administered to children aged <4 years or >7 years; however, if DTaP-IPV (Kinrix) is inadvertently administered for an earlier dose of the DTaP and/or IPV series, the dose should be counted as valid and does not need to be repeated provided minimum interval requirements have been met (5). Data are limited on the safety and immunogenicity of interchanging DTaP vaccines from different manufacturers (6). ACIP recommends that, whenever feasible, the same manufacturer's DTaP vaccines should be used for each dose in the series; however, vaccination should not be deferred because the type of DTaP previously administered is unavailable or unknown (6).
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5739a4.htm
If it is inadvertently administered, would this be payable? Anyone know?
DTaP-IPV (Kinrix) is indicated for use as the fifth dose of DTaP and fourth dose of IPV in children aged 4 -- 6 years who received DTaP (Infanrix) and/or DTaP-Hepatitis B-IPV (Pediarix) as the first 3 doses and DTaP (Infanrix) as the fourth dose (1,2). This vaccine should not be administered to children aged <4 years or >7 years; however, if DTaP-IPV (Kinrix) is inadvertently administered for an earlier dose of the DTaP and/or IPV series, the dose should be counted as valid and does not need to be repeated provided minimum interval requirements have been met (5). Data are limited on the safety and immunogenicity of interchanging DTaP vaccines from different manufacturers (6). ACIP recommends that, whenever feasible, the same manufacturer's DTaP vaccines should be used for each dose in the series; however, vaccination should not be deferred because the type of DTaP previously administered is unavailable or unknown (6).
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5739a4.htm
If it is inadvertently administered, would this be payable? Anyone know?
Realizingadream
Guest
- Messages
- 20
- Best answers
- 0
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 immunization combo that fits, for younger than age 4 (and he's still 3years old until he's 4!) It looks like the denial is going to stick, unless someone has an idea for me. Thank you.