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Wiki Vaccine for Children Modifier

alessandra

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Messages
19
Location
Little Egg Harbor, NJ
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I live in NJ and I work for a pediatrician. We have a large number of patients with Horizon NJ Health. How do you bill the Vaccine from the state. I`ve been using the Mod SL attached to the vaccine and has been denied. Example: 90672,SL
90473
90707,SL
90472
I need help. Any suggestions?
 
I would contact your local medicaid program / provider resources and see what they want. I work for Primary care in Oregon and we have to use modifier - 26 for our state supplied vaccines and do not bill the vaccine administration code. we get reimbursed for the technical component of giving the vaccine.
 
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