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vaccine 90696 medicaid denial

  1. #1
    Default vaccine 90696 medicaid denial
    Medical Coding Books
    Medicaid GA is denying Dtap-IPV vaccines by Kinrix with NDC 58160081211 as invalid NDC and also wellcare is denying it as inclusive with the EPSDT as per GA guidelines. Has any one experience this denial in your office and what action did you take in order for claim to be paid. thanks.

  2. #2
    Columbia, MO
    Did you put the N4 infront of your NDC number (with no space)?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    No, I did not know I am suppose to put N4 infront of the NDC#. Is it only for the particular vaccine or all vaccines? thanks

  4. #4
    Columbia, MO
    all NDC numbers should have the N4 qualifier.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5

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