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HPV Dx

  1. #1
    Default HPV Dx
    Medical Coding Books
    Can anyone tell me what dx they use for HPV vaccine? I can't gt Medicaid to cover any dx I give them and then pt is within the guidelines. Thanks
    adrianne, cpc

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    We use V04.89 - and of course we add the .SL modifier on the 90649 - (it's a free vaccine/ state supplied).
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  3. #3
    Default
    I've already tried that code and they denied it V04.89 as well.
    adrianne, cpc

  4. #4
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    is it state supplied? (like ours - MN). if so, it's "free" and needs the .SL modifier on it -
    what's the denial reason?
    Donna, CPC, CPC-H

  5. #5
    Default
    no, it's not state supplied....denial reason is, dx not compatable w/ procedure code. I'm at a loss.
    adrianne, cpc

  6. #6
    Default
    what about V05.9?
    adrianne, cpc

  7. #7
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    I'd say no - not V05.9 - that's for a "single" disease - HPV helps protect against 4 different types of HPV.
    I say V04.89 is correct - we've never had a problem with it. but again, for Medicaid & PMAP's it's free - so we don't get paid because the State provides the immunization. For regular insurances we don't have a problem.
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  8. #8
    Default
    actually looking at the claim again, i had already used v05. anyway. I agree w/ v04.89. since we get paid for it, i'll appeal. this is why i hate OB
    adrianne, cpc

  9. #9
    Default
    HI-
    I do primarily all OBGYN coding and we use the 90649 with diagnosis v04.89 and it gets paid.

  10. #10
    Default
    also we had to send in the pharmacy invoice for the drug itself at the beginning. If you can get one I would suggest making copies and trying to send that in with it.
    -Casey

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