Wiki Double dose of Hep B vaccines

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jonique.dietzen

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Our clinic routinely administers double doses of Hep B to our HIV+ patients as part of a 3 dose schedule. I believe that we should use 90740 instead of 90746. But how do I get paid for two doses instead of one? We have billed it out on two separate lines and tried billing it on one line with two units but insurance is only covering one dose.

I don't believe that modifier 59 is appropriate for immunizations and our billing software states that modifier GD is inappropriate. Any other ideas? Thank you for your help.
 
But if I'm reading the code right, it needs 3 doses so I don't think it can be billed until the third is complete or you'd need modifier 76? But I'm just putting out ideas.
 
Just as follow up, we decided to bill on two separate lines and add modifier 76 to the second dose at each encounter. Insurance is paying for both doses of Hep B for our high risk patients when we bill this way.

Thanks,
Jonique
 
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