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CPT Code 90461

  1. Default CPT Code 90461
    Medical Coding Books
    Hello everyone, I want to ask if any one has gotten reimbursement back from Medicaid for an administration shot with multiple antigens using code 90461

  2. #2
    Biloxi, MS
    Default RE:
    are you using 90460 as your primary code

  3. Default
    Oh yes, for example when i bill for the Flu shot and Heb, I bill 90460X2. If i was to bill Flu shot and Pediarix (5 antigens) would i bill Medicaid 90460X1 plus 90461X5?

  4. #4
    Biloxi, MS
    Default Re:
    How many of the additional ones are you getting reimbursed for? I'm thinking maybe Medicaid will only pay for a certain amount, not sure but you could check the cms website.

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