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Thread: vaccine 90696 medicaid denial

  1. #1

    Default vaccine 90696 medicaid denial

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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
    Join Date
    Apr 2007
    Columbia, MO


    all NDC numbers should have the N4 qualifier.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5



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