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Gardasil - We have had problems

  1. #1
    Default Gardasil - We have had problems
    Medical Coding Books
    We have had problems getting Gardasil paid if it is done at the same time as another service such as an annual pap smear. Does anyone have any input on this? Can it be billed separately on the same day as a pap or other office visit?? Does it need any modifiers??

  2. Default Gardasil
    use modifier 25 on e/m

  3. #3
    Indianapolis, Indiana
    Append 25 modifier to the preventive code for the visit. The gardasil should be billed and paid separately - bill 90649 for the vaccine and 90471 or 90460, depending on the age of the patient and whether counseling was provided by the physician, for the admin fee, with diagnosis V04.89.

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