Wiki VACCINE 90700

[mesafam6]

I have a provider who billed a 90700(C90.00, Z94.81, D47.2) vaccine for a patient who is 59 years old. We billed the claim to Blue Cross/Blue Shield. It got kicked back for age not appropriate. Does anyone know how to bypass this? Is this a clearinghouse issue? patient needed vaccines for her medical treatments. Please advise. thank you.

 

[sls314]

You can’t bypass the age edit. You have to bill the correct code for the adult vaccine.

Which vaccine did the patient actually receive?

97014 is Tetanus Diptheria (Td)
90715 is Tetanus Diptheria and Acellular Pertussis (Dtap)