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Wiki Immunization Counseling - Codes 90460 and 90461

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dkeversmiles2

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Codes 90460 and 90461....for Well Child Care visits, are Insurance Companies paying for these codes?
Thank you....
 
RE: admin codes 90460 90461

Hi, I am in state of Arizona. 90460 and 90461 pays fine for commercial plans but I am having trouble with Medicaid plans for 90461 which has paid in the past. Is this for a particular insurance plan or several plans?
 
90460 and 90461

CPT codes 90460 and 90461 are listed on the CCI edit as bundled into Well child visit E/M codes. A -25 modifier needs to be appended to the E/M code when billed with CPT codes 90460 and 90461.
 
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