• 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 Rotavirus Vaccine CPT

Create Wiki
C

cstoldt

Guest
Messages
11
Best answers
0
I have denial for CPT 90680 for RotaTeq based on age. The child was 9 months old. They said to rebill with a different CPT but I see no other CPT to use. This is the third in a series of 3 and the first 2 have been paid. Any ideas on what CPT to bill?
 
Found this on supercoder. Says must be given by 8 months in age... Maybe that's why the third one got denied?

For the 3-dose vaccine, the first dose typically is given to the infant at 2 months of age. The second dose is then given at 4 months of age, and the third dose is given at 6 months of age. The first vaccine dose can be given as early as 6 weeks of age or as late as 14 weeks, 6 days of age. Vaccination should not be started for infants once they reach 15 weeks of age. There must be 4 weeks between doses and all doses must be given by 8 months of age.
 
babierman said:
Found this on supercoder. Says must be given by 8 months in age... Maybe that's why the third one got denied?

For the 3-dose vaccine, the first dose typically is given to the infant at 2 months of age. The second dose is then given at 4 months of age, and the third dose is given at 6 months of age. The first vaccine dose can be given as early as 6 weeks of age or as late as 14 weeks, 6 days of age. Vaccination should not be started for infants once they reach 15 weeks of age. There must be 4 weeks between doses and all doses must be given by 8 months of age.
Click to expand...

If there was a good reason why the final dose was delayed, maybe you can appeal the denial. I would definitely give it a try.
 
Thank's for the information. It was very helpful. Turns out the child was sick and third imunnizations were held in March . But they rescheuled to far out and could maybe have done this in April or May instead of waiting til June when it was too late.
 
You must log in or register to reply here.
Top