• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Patient Protection & Affordable Care Act Question

tmoss1

Contributor
Messages
21
Best answers
0
Can anyone please assist with this? We billed these vaccines recently for some pediatric patients, dtap 90700, hep A 90633 & hep b 90744. They were age appropriate however the insurance did not cover them. The insurance remark showed, covered preventative services are limited to services required the the patient protection and affordable care act. I have read articles on the PPACA and I am still confused. This is the first time I am seeing this denial code. Also, can the patient be billed?
 
For cpt 90633 used dx V05.3, for cpt 90700 dx V06.1 was used and for cpt 90744 dx V05.3 was used.
 
All vaccines recommended by ACIP in the immunization schedule are covered under PPACA. Recommend you contact the payer for more information. FYI 90633 is not a valid CPT code in 2015 so you may want to review for correct code.
 
Top