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Thread: Tetnus shot with CPT 96372

  1. #1
    Join Date
    Apr 2007
    Posts
    517

    Default Tetnus shot with CPT 96372

    AAPC: CPC Promo
    Question:

    I was under the assumption that you can only code the regular administration codes with CPT 90715 tetnus shot.


    But recently I was told that if the patient came in for a leg laceration and the physician adminsters a tentaus shot you can use CPT 96372.

    Can you code CPT 96372 and CPT 90715 together for therapeutic reasons.

    If so, do you have a article or source to refer to.


    Daniel,CPC

    P.S: Doesn't seem right to me.

  2. #2

    Default tetnus shot

    Daniel

    Since tetnus is considered a immunization shot, you should code for the repair, 90471 for admin and 90715 for shot. I do this on a regular basis and get paid for it from all insurance companies, except of course Medicare whom does not pay for tetnus at all.

    Rita
    I was under the assumption that you can only code the regular administration codes with CPT 90715 tetnus shot.


    But recently I was told that if the patient came in for a leg laceration and the physician adminsters a tentaus shot you can use CPT 96372.

    Can you code CPT 96372 and CPT 90715 together for therapeutic reasons.

    If so, do you have a article or source to refer to.


    Daniel,CPC

    P.S: Doesn't seem right to me.[/QUOTE]

  3. #3

    Default

    The CPT manual provides guidelines for Vaccines & Toxoids which indicates...
    "Codes 90476-90748 indentify the vaccine product only. To report the administration of a vaccine/toxoid, the vaccine/toxoid product codes 90476-90749 must be used in addition to an immunization administration code(s) 90465-90474.

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS
    ciphermed@optonline.net

  4. #4
    Join Date
    Apr 2007
    Posts
    517

    Default

    Any more input.

    Is anyone using CPT 96372 and CPT 90714 together for prophlatic measures.

    Example patient comes in for a dog bite, or for steping on a rusty nail.

  5. #5
    Join Date
    Apr 2007
    Location
    Huntsville, AL
    Posts
    7

    Default Tetanus

    We bill 90715 for TDAP and 90471 for regular tetanus with the 90471 admin code and have no problems with reimbursement. We bill family practice and urgent care.

  6. #6
    Join Date
    Apr 2007
    Location
    Des Plaines
    Posts
    4

    Default

    Medicare will pay for a tetinus vaccine, but only if the patient has an open wound. You have to use 90703 to bill the vaccine.

  7. #7

    Default

    yes medicare will pay for 90703 they will also reimburse on codes 90718 and 90714 but will not except 90715. I found a page of this info and have personally been paid on 90714 and 90703. i found a page on imm for medicare and it only states the 90471 for administration but if you could code 96372 how would you know it was admin by the phys a mod- ? not sure never heard of it.
    Last edited by ANDREAHSANCHEZ; 10-18-2011 at 11:34 AM.

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