Tetnus shot with CPT 96372

daniel

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Question:

I was under the assumption that you can only code the regular administration codes with CPT 90715 tetnus shot.


But recently I was told that if the patient came in for a leg laceration and the physician adminsters a tentaus shot you can use CPT 96372.

Can you code CPT 96372 and CPT 90715 together for therapeutic reasons.

If so, do you have a article or source to refer to.


Daniel,CPC

P.S: Doesn't seem right to me.
 

rita1210

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tetnus shot

Daniel

Since tetnus is considered a immunization shot, you should code for the repair, 90471 for admin and 90715 for shot. I do this on a regular basis and get paid for it from all insurance companies, except of course Medicare whom does not pay for tetnus at all.

Rita
I was under the assumption that you can only code the regular administration codes with CPT 90715 tetnus shot.


But recently I was told that if the patient came in for a leg laceration and the physician adminsters a tentaus shot you can use CPT 96372.

Can you code CPT 96372 and CPT 90715 together for therapeutic reasons.

If so, do you have a article or source to refer to.


Daniel,CPC

P.S: Doesn't seem right to me.[/QUOTE]
 

ciphermed

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The CPT manual provides guidelines for Vaccines & Toxoids which indicates...
"Codes 90476-90748 indentify the vaccine product only. To report the administration of a vaccine/toxoid, the vaccine/toxoid product codes 90476-90749 must be used in addition to an immunization administration code(s) 90465-90474.

Hope this helps,
 

daniel

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Any more input.

Is anyone using CPT 96372 and CPT 90714 together for prophlatic measures.

Example patient comes in for a dog bite, or for steping on a rusty nail.
 

namedcare

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Tetanus

We bill 90715 for TDAP and 90471 for regular tetanus with the 90471 admin code and have no problems with reimbursement. We bill family practice and urgent care.
 

cubs01

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Medicare will pay for a tetinus vaccine, but only if the patient has an open wound. You have to use 90703 to bill the vaccine.
 
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yes medicare will pay for 90703 they will also reimburse on codes 90718 and 90714 but will not except 90715. I found a page of this info and have personally been paid on 90714 and 90703. i found a page on imm for medicare and it only states the 90471 for administration but if you could code 96372 how would you know it was admin by the phys a mod- ? not sure never heard of it.
 
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