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Oncology & Hematology Coding Alert

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Factor G9141 Into Your Flu Vaccination Plans, CMS Says

Published on Sun Nov 27, 2011

Plus: Keep an eye out for proper use of new bevacizumab code. If you're planning to administer the vaccination for H1N1- also known as the "swine flu" -- the odds of collecting for the vaccine administration recently improved. Expect Denials for G9142, Payment for G9141 CMS released Transmittal 1810, CR 6617 (www.cms.hhs.gov/transmittals/downloads/R1801CP.pdf), adding two new H1N1 vaccine codes to the fee schedule, effective Sept. 1: • G9141 (Influenza A [H1N1] immunization administration [includes the physician counseling the patient/family]) refers to the vaccine administration • G9142 (Influenza A [H1N1] vaccine, any route of administration) is the code for the vaccine. Important: 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. So you should report one unit of G9141 for each H1N1 vaccine administration. If you [...]
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