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h1n1/flu billed at same time/modifier

  1. Talking h1n1/flu billed at same time/modifier
    Medical Coding Books
    When the flu shot (90658 and 90471) and the H1N1 (90663 and 90470) are billed at the same visit for non medicare there is a CCI edit that comes up that indicates that the codes are mutually exclusive procedures. When you view the CCI list; it says that a modifier is allowed. However i have heard that some comercial insurance companys do not follow the CCI edits. my question..would you add the modifier 59 or not.


  2. #2
    You should not be posting the 90471 you should be posting the 90472 since the admin. for H1N1 is the primary admin. code

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