We had a 14 month old patient come into our clinic who was in for a well-child visit and received 5 vaccinations. How can I bill this since I only have 4 Dx codes available on the CMS-1500 form but have a total of 6 to specify the types of vaccines administered? Would I use v20.2 for all of the vaccines or do I notate them individually?
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Wiki How can I bill for 5 vaccines!!
- Thread starter abeckett
- Start date
mitchellde
True Blue
You should have 12 diagnosis spots on the 1500 form whether it is a paper claim or electronic. This was as of Jan1 2012
We have the same problem where I work and so we checked with all our payors and we use just the V20.2 and are getting paid with no problem.
mitchellde
True Blue
The question is why do you still have only 4 diagnosis places? You should have 12 and then you will have no problem listing all your codes. You can link only four codes to a line item HCPC code but again that should not be an issue. You should use the correct ICD-9 codes for each administration. While some may accept the V20.2 now they could also decide at some point that it was incorrect and recoup funds paid.
Do you use the V20.0 code for all of the administrations?
99382-25 - V20.0
90460, 90633 - V20.0
90460, 90647 - V20.0
90460, 90461x2, 90707 - V20.0
90460, 90670 - V20.0
90460, 90716 - V20.0
Looking at this, it kind of makes me wonder if the 90460 is going to get declined as a duplicate. Is there anything else that would need to be done with this claim?
99382-25 - V20.0
90460, 90633 - V20.0
90460, 90647 - V20.0
90460, 90461x2, 90707 - V20.0
90460, 90670 - V20.0
90460, 90716 - V20.0
Looking at this, it kind of makes me wonder if the 90460 is going to get declined as a duplicate. Is there anything else that would need to be done with this claim?
SLKappa
Contributor
vaccines
Each vaccine will have its own V code (at least until ICD-10 gets here...). You should have 12 available dx on the 1500 as well.
Each vaccine will have its own V code (at least until ICD-10 gets here...). You should have 12 available dx on the 1500 as well.
Each Vaccination
Hello,
Each, vaccination has it's own (V-Code) associated with it. Which version of the claim form are you using 08/05 or 02/2012. The 08/05 version only allows up to "4" Diagnosis codes and the 02/2012 version allows 12. You should consult with you Billing software so that you using the correct version that had been mandated about a year ago.
If you provide me with the Vaccinations you are trying to bill I can provide you with the V--Codes that are assoicated with them.
Even though you are using V20. I would be more specific in the coding.
Hope this helps!
Hello,
Each, vaccination has it's own (V-Code) associated with it. Which version of the claim form are you using 08/05 or 02/2012. The 08/05 version only allows up to "4" Diagnosis codes and the 02/2012 version allows 12. You should consult with you Billing software so that you using the correct version that had been mandated about a year ago.
If you provide me with the Vaccinations you are trying to bill I can provide you with the V--Codes that are assoicated with them.
Even though you are using V20. I would be more specific in the coding.
Hope this helps!