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TDAP Immunizations/Medicare

  1. Default TDAP Immunizations/Medicare
    Exam Training Packages
    Has anyone been able to get reimbursed for the TDAP immunization (code 90718)?
    If so, how?
    Thank you,
    Dawn

  2. #2
    Location
    Grand Rapids, MI
    Posts
    230
    Default
    We use 90715 for the TDap. 90718 is the Td vaccine. It is not payable through Medicare part B. No ABN is needed since it is not on the fee schedule.

  3. Default
    thank you.

  4. Default
    we also use 90715, but it is not reimburseable. (unless given for injury)
    The only shots covered by MCR are flu and pneum all else goes under part d benefits

  5. #5
    Default
    We actually do get reimbursed for the TDaP vaccination. Per Medicare they told me to see the website for modifiers which showed that modifier "AT" must be submitted along with the TDaP code.
    Kimberly Jawidzik, CPC
    MedAssure, LLC
    Physician Billing & Consulting
    www.MedAssureLLC.com
    KimJ@MedAssureLLC.com

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