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Cardiology Coding Alert

MPFS Update:

Prepare for Swine Flu Season With G9141, G9142 Know-How

Published on Thu Aug 27, 2009

Plus: CMS clears up facility-based 93351 confusion. The medical community is abuzz that swine flu (H1N1) could be particularly dangerous for heart patients, putting them at the top of the vaccination priority list. If your practice expects to administer the vaccine, don't miss what a recent Medicare Physician Fee Schedule (MPFS) update reveals about which codes belong on your claim. Factor in G9141, Forget G9142 CMS added two H1N1-related codes to the fee schedule, effective Sept. 1 (Transmittal 1810, CR 6617): • Administration: G9141 -- Influenza A (H1N1) immunization administration (includes the physician counseling the patient/family) • Vaccine: G9142 -- Influenza A (H1N1) vaccine, any route of administration. Because the H1N1 vaccine is available to providers free of charge, you should not bill Medicare for the vaccine -- only for the administration, said CMS's Stewart Streimer during an Aug. 25 CMS Open Door Forum. What to do: You should report one unit of [...]
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