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Thread: can some please answer...

  1. #11

    Default I know its 90707

    AAPC: Back to School
    Im saying for the admin code do I use 3 for Mumps, Measles, Rubella or just one. My doctor wanted me to check because I only been coding one admin code but we have a new employee and shes saying u suppose to bill 3 admin codes.... She's saying I been coding wrong...

  2. #12
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire


    If they are given separately 90471 w/o counseling first vaccine/90472 each add vaccine w/o counseling.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #13


    If counseling was provided prior to the vaccine administration, you would report 90460 for the first componet and 90461 x 2 for the remaining two componets (90461 is reported for each additional component. Since an MMR is three components, you use 90460 for the first component and 90461 for the additonal components).

    You may want to speak with the payer about this as some payers have specific criteria for reporting these new codes. Some payers will allow the units and other payers may want the codes listed as separate line items and some payers may even require modifiers. Hope this helps.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  4. #14
    Join Date
    Apr 2007
    Alexandria, VA


    [QUOTE=keylolo044@yahoo.com;160638]4 mo old patient came in office for mmr, tetanus, and hep A how many 90460's and 90461's do I apply? How do I code this and do I use 99203-25 with this?[/QUOT

    If you give me your email address, I will send you the current info I rec'd at our Conference in April concerning this......
    Yolanda T. Haskins CPC, CRC, OHCC
    AAPCCA Board of Directors 2014 - 2017
    Region 1 - NorthEast - ME, NH, VT, MA, RI, CT, NY


    Alexandria, VA Chapter

    ~ Practice Kindness ~

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