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Billing only 90471

  1. Question Billing only 90471
    Medical Coding Books
    Our office is only billing 90471 to Horizon. Horizon denied the claim stating that "The Procedure is not eligible for payment unless billed with the related base or primary procedure." How can we get the 90471 paid is that is the only thing we are doing. Patient bought the Hep A vaccine from the pharmacy and we are just administrating it. Are we billing the correct administation code??

  2. #2
    Bill the Hep A with zero cost and this should resolve your problem. Insurance co needs to see what vaccine was given.
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017

    Alexandria, VA Chapter

    ~ Practice Kindness ~

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