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Wiki how to complete an ABN -- reason MC may not pay

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T

tlwhlw

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We do a fair amount of Tetanus vaccines in our office; some are for immunizations purposes, some are for wounds/injuries where the patient has not had a tetanus within 5-7 years.

Looking for advice on how to state the reason Medicare may not pay for this service. Are either of these appropriate:

Medicare may not pay for services due to non-covered diagnosis (for unclear diagnosis codes)

Not a covered service (for immuziations)

Is there some place I can look to find diagnosis codes that are covered?
It seems there's not a really clear answer for what to put in this box of the ABN....help!
Thanks!
Tracy
 
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