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New 90685-90688 Flu Vaccine Codes

  1. Default New 90685-90688 Flu Vaccine Codes
    Medical Coding Books
    I have had a few private payers process these flu vaccine codes as part of office visit procedures instead of falling under well coverage because it is a new code. I also had Tricare tell me that it is on the government "no pay" list. We are billing with appropriate well child visit and vaccine administration codes, as well as modifier -25 on the well visit, the same as any other well visit with immunizations. Is anyone having trouble getting these codes paid as part of well child coverage?

    Pam Bowman, CPC

  2. Default
    Unfortunately, Tricare will not pay for 90687 with dates of service prior to 09/20/2014. This code was just removed from the "Government No Pay List".
    Last edited by csantiago; 10-31-2014 at 11:54 AM.

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