aguelfi
Guest
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
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Wiki HPV Dx
- Thread starter aguelfi
- Start date
dmaec
True Blue
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}
{that's my opinion on the posted matter}
aguelfi
Guest
I've already tried that code and they denied it V04.89 as well.
dmaec
True Blue
is it state supplied? (like ours - MN). if so, it's "free" and needs the .SL modifier on it -
what's the denial reason?
what's the denial reason?
aguelfi
Guest
no, it's not state supplied....denial reason is, dx not compatable w/ procedure code. I'm at a loss.
aguelfi
Guest
what about V05.9?
dmaec
True Blue
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}
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
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
HI-
I do primarily all OBGYN coding and we use the 90649 with diagnosis v04.89 and it gets paid.
I do primarily all OBGYN coding and we use the 90649 with diagnosis v04.89 and it gets paid.
barbacasec
Networker
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
-Casey