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90650 hpv vaccine

  1. Talking 90650 hpv vaccine
    Exam Training Packages
    Quick question coders,
    When coding 90650, 3 dose schedule, is 90650 coded for every visit along with administration or just the initial visit, admin and then administration only the next two visits?
    I have discussed this with my team and management but we all have different answers.
    Thanks for your help

    Eby CPC-A

  2. #2
    Location
    Capital Coders, Columbia, SC
    Posts
    145
    Default
    Report 90650 (x1) and the administration charge for each injection.


    Bill Hale, CPC

  3. #3
    Location
    Ft. Worth, Texas
    Posts
    108
    Default
    I agaree with Bill. Also remember to check if counseling was done by the physician and the patient is 18 years or younger for the correct admin code.

    Cathy

  4. #4
    Location
    Capital Coders, Columbia, SC
    Posts
    145
    Default
    Exactly - 90460/90461 vs. 90471/90472. Good call, Cathy!

  5. Default
    Very quick results! Thank you so much!!

  6. Question
    Hmmm? I wonder if this code is Payer Specific? One of our billers noticed Community Care is paying for 90650 each time? Is there any resources I could reference? In the mean time I will research more about United Healthcare because they are the ones denying the claim. I got my hands on a 2012 CPT book but it is funny how many ways this could be read.

  7. #7
    Location
    Ft. Worth, Texas
    Posts
    108
    Default
    Uhc had at one time an area on their website where you could put in the code to see they would pay them. Was a preventative exam also done at the same time? At one point they wanted the 25 modifier on the preventative exam before they would pay the claim. They don't follow the CCI edits. They have their own. Also check to see if your patient's policy covers this vaccine.

    Cathy

  8. Default
    I did not realize that about UHC, thanks for the info!

  9. Default male 45 HPV injection
    What is the code for Male 45 HPV injection

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