HPV Vaccine given to patient over 26

CBumpus

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Boston, MA
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Hello,
One of our providers gave an HPV vaccine to a patient over the age of 26. Obviously Medicaid denied the 90649 code due to patient age. In cases like this, do I just go back and tell the provider we cannot bill the HPV vaccine because of the age? Does the provider need to add an append in the visit encounter stating that vaccine was given but not billed due to patient age?

Thanks.
 
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