agnesh7
New
Please advise how to bill for vaccination waste?
Provider did the work of education, drawing up, and lost the vaccination, deserves reimbursement. Would be appropriate if I add modifier 53 or JW to the vaccination code?
1 Scenario; Patient came for Well visit and vaccination.
Our provider prepared the vaccination and provides face to face counseling to the family and ready to give the injection.
I would code for example;
993__ for Preventive service
99713 with 99460 X1 since it’s a single organism are considered a single component of this vaccination,
But the parent resigned it at the last minute. I have the diagnosis code for the refusal, but can we bill insurance BCBS of IL for the waste of vaccination by adding modifier 53-(stopped-discontinue procedure) or JW-(Drug amount discarded/not administrated to any patient, but JW I realized is not allowed for billing -Office setting) to procedure 99713 since it was already opened and discarded not administrated to any patient and we had to waste it, how about counseling procedure? Would be still appropriate to bill for counseling too?
2 Scenario: Same scenario for Vaccination waste but in this case patient came for Vaccination only without preventive service.
Can I submit for counseling as separate procedure using 99401 instead code 99460 since vaccination was Not administrated? (Knowing that 99401 I never bill with preventive visit on the same day)
Your help is greatly appreciated.
Provider did the work of education, drawing up, and lost the vaccination, deserves reimbursement. Would be appropriate if I add modifier 53 or JW to the vaccination code?
1 Scenario; Patient came for Well visit and vaccination.
Our provider prepared the vaccination and provides face to face counseling to the family and ready to give the injection.
I would code for example;
993__ for Preventive service
99713 with 99460 X1 since it’s a single organism are considered a single component of this vaccination,
But the parent resigned it at the last minute. I have the diagnosis code for the refusal, but can we bill insurance BCBS of IL for the waste of vaccination by adding modifier 53-(stopped-discontinue procedure) or JW-(Drug amount discarded/not administrated to any patient, but JW I realized is not allowed for billing -Office setting) to procedure 99713 since it was already opened and discarded not administrated to any patient and we had to waste it, how about counseling procedure? Would be still appropriate to bill for counseling too?
2 Scenario: Same scenario for Vaccination waste but in this case patient came for Vaccination only without preventive service.
Can I submit for counseling as separate procedure using 99401 instead code 99460 since vaccination was Not administrated? (Knowing that 99401 I never bill with preventive visit on the same day)
Your help is greatly appreciated.