How do I bill a 90471 CPT code?
How do I bill a 90471 CPT code?
To report a single intramuscular vaccination, report 90471. To report three intramuscular injections, report 90471 for the initial intramuscular vaccination administration and 90472 x 2 for the additional intramuscular administrations.
What is the administration code for 90471?
Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.
What is the reimbursement for 90471?
$50
CODING EXAMPLE A
| Vaccine | Code | Reimbursement |
|---|---|---|
| DTaP/IPV/HepB | 90471 | $50 |
| HIB | 90472 | $25 |
| Prevnar | 90472 | $25 |
| Rotavirus | 90474 | $25 |
Can 90471 be billed to Medicare?
You would have to use 90471 because G0008 is not a primary code for 90472. Also remember, Medicare doesn’t pay for vaccinations outside of the flu, pneomoccocal and HepB. They will pay for tetanus if there is a medical reason for it, but not just a preventative vaccination.
What is the difference between 90471 and G0008?
For vaccines given the same day as a G-Code vaccine, use 90471. For example, if a patient receives a flu shot and tetanus shot, you would bill G0008 for the flu vaccine and 90471 for the tetanus vaccine; also add modifier 59 (distinct procedural service) to the G code.
Is 90714 covered by Medicare?
Claims for CPT codes 90702, 90714, J1670 are payable under Medicare Part B in the following places of service: office (11), urgent care facility (20) , nursing facility (32), and independent clinic (49).
What is the difference between G0008 and 90471?
Does Medicare cover immunization administration?
Medicare Part D covers most vaccines and immunizations. However, there are certain vaccinations that are always covered by Part B: Influenza (flu) shots, including both the seasonal flu vaccine and the H1NI (swine flu) vaccine. Pneumococcal (pneumonia) shots.
How do you bill for multiple vaccine administration?
Coding: Bill with 90471 only (If another vaccine is given at the same visit, code the administration fee for the second injection with 90472.) When billing for multiple vaccine administrations, you can either report administration add-on codes per line or report as multiple units on one line.
Is 90651 covered by Medicaid?
In January of 2016, due to an inadvertent omission from the listing of VFC vaccines Medicaid received, CPT code 90651 was removed from the “Children/Adolescents” Immunization Fee Schedule. It has remained correctly listed on the “Young Adult” and “Adult” immunization fee schedules.
