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Old 12-10-2008, 01:44 PM
annbishop annbishop is offline
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Default 90680 vs 90681

I have conflicting info on 90680 vs 90681. CPT 2009 is stating that both of these vaccines are adminstered orally.

I have 2 differenet handouts from the weekly AAPC teleconferences that state 90681 is adimistered orally and 90680 is administered by injection.

If anyone can clarify this for me I'd greatly appreciate it.

Thank you
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Old 12-10-2008, 02:04 PM
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dmaec dmaec is offline
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it's my understanding they are both oral -
90680 - is a 3 dose schedule (Pebtavalent, Live for Oral use)
90681 - is a 2 dose schedule (Human, Attenuated, Live for Oral use)
Donna, CPC, CPC-H
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Old 12-10-2008, 02:53 PM
RebeccaWoodward* RebeccaWoodward* is offline
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I just attended an AAPC workshop today. The AAPC presenter advised that we disregard "injection" and acknowledged oral as the correct method of adminstration.
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Old 12-11-2008, 06:54 PM
Lindsey_McBee Lindsey_McBee is offline
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Default 90680 and 90681

You are right in that they are both administered orally, but it is good to note that the 90681 is considerably more expensive than the 90680. I haven't run into many insurance companies that exclude these vaccines; But if a patient doesn't have preventive coverage it would be good PR to counsel them on price vs. benefits. Also, since this vaccine isn't state mandated in most states patient's could be left with a hefty bill. Let them know their options and make sure your physicians are noting the correct vaccine on the patient's super bill.
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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