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Can we bill H1N1 administration to Welfare?

terif

Guest
Messages
23
Location
Norwich
Best answers
0
I know that welfare will not pay for the administration of the Flu vaccine so what about the H1N1. Has anyone had any experience with this yet?
 

amjordan

True Blue
Messages
751
Location
Kansas City, MO
Best answers
0
Use code G9141 or 90470 based on Carrier

Yes, actually several payers will reimburse for the H1N1 administration, but you have to use the right codes. The two codes that are currently recognized are the G9141 and 90470. Now, you will not find 90470 in the new CPT book because it was added after the books wen to print.

You will have to check with your carriers to find out which code they want you to use. I am in the Kansas City area and we use the G9141 for Medicare and BCBS, but carriers such as Humana, UHC and Coventry are accepting the 90470. So, it is important that you check before you submit.
 

msuitor

Contributor
Local Chapter Officer
Messages
17
Location
Salt Lake South Valley
Best answers
0
In Utah the state is giving the vaccine for free. We have some payors that will pay the admin code since the vaccine was free. I've also had Great West deny 90470 saying it was invalid and had to rebill it with the regular 90471 code.
 
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