HPV Dx

aguelfi

Guest
Messages
332
Best answers
0
Can anyone tell me what dx they use for HPV vaccine? I can't gt Medicaid to cover any dx I give them and then pt is within the guidelines. Thanks
 

dmaec

True Blue
Messages
1,133
Location
Duluth, Minnesota
Best answers
0
We use V04.89 - and of course we add the .SL modifier on the 90649 - (it's a free vaccine/ state supplied).
{that's my opinion on the posted matter}
 

dmaec

True Blue
Messages
1,133
Location
Duluth, Minnesota
Best answers
0
is it state supplied? (like ours - MN). if so, it's "free" and needs the .SL modifier on it -
what's the denial reason?
 

aguelfi

Guest
Messages
332
Best answers
0
no, it's not state supplied....denial reason is, dx not compatable w/ procedure code. I'm at a loss.
 

dmaec

True Blue
Messages
1,133
Location
Duluth, Minnesota
Best answers
0
I'd say no - not V05.9 - that's for a "single" disease - HPV helps protect against 4 different types of HPV.
I say V04.89 is correct - we've never had a problem with it. but again, for Medicaid & PMAP's it's free - so we don't get paid because the State provides the immunization. For regular insurances we don't have a problem.
{that's my opinion on the posted matter}
 

aguelfi

Guest
Messages
332
Best answers
0
actually looking at the claim again, i had already used v05. anyway. I agree w/ v04.89. since we get paid for it, i'll appeal. this is why i hate OB
 

barbacasec

Networker
Messages
36
Location
Salem, NH
Best answers
0
also we had to send in the pharmacy invoice for the drug itself at the beginning. If you can get one I would suggest making copies and trying to send that in with it.
-Casey
 
Top