Pediatric Coding Alert
Code Each Unit for Multiple +90472s
Question: We often administer multiple vaccines during a patient's visit, but I am not sure how to handle multiple instances of +90472. Should we bill the initial +90472 and then list additional vaccines with +90472 and a modifier? Or should we file +90472 and include the number of units we're linking to this administration fee,but not include a modifier? Georgia Subscriber Answer: Report +90472 (Immunization administration [includes percutaneous, intradermal, subcutaneous, or intramuscular injection]; each additional vaccine [single or combination vaccine/toxoid] [List separately in addition to code for primary procedure]) once and note the number of times it applies for the total of units. For example, if you administer five vaccines, code +90472 x 5. You do not need to attach a modifier.
Pediatric Coding Alert
- Face Off Against Common Sports Physical Coding Challenges
Hint: Gathering upfront pay and watching E/Ms make a difference.Children need physicals to participate in [...] - Clear the Way for Accurate Diagnostic Test Documentation
Technical and professional components hold your clues.What do insurers expect for documentation of tympanometry or [...] - You Be the Coder :
Coding Double Nosebleed Care
Question: An established patient reports to the pediatrician after a ball hit her in the [...] - News You Can Use:
Change These J Codes In Your System
As noted in Pediatric Coding Alert, Vol. 13, Number 2, January 2010 brought a replacement [...] - 3 Tips Ensure You Don't Cause a Stir With Your Incident-to Billing
If you automatically report under your NPP, you're costing your doc 15%.Being able to report [...] - READER QUESTIONS:
Code Each Unit for Multiple +90472s
Question: We often administer multiple vaccines during a patient's visit, but I am not sure [...] - READER QUESTIONS:
Try More Diagnoses With 51701
Question: A father brought in his child who's had a fever of 102 degrees for [...] - READER QUESTIONS:
Verify Documentation for E/M With 69210
Question: A patient presented with ear pain. The doctor used a curette to remove impacted [...] - READER QUESTIONS:
Consider Different Diagnosis for Synagis Injections
Question: Our nurse practitioner often administers Synagis injections to premature babies. We're receiving denials stating [...] - READER QUESTIONS:
Coding E/M Service With Foreign Body Removal Is Legitimate
Question: A 3-year-old child with a history of bad breath was brought to the office. [...] - Correction:
789.04 is for lower left quadrant abdominal pain
Pediatric Coding Alert, Volume 13, Number 1,incorrectly listed the ICD-9 diagnosis codes for left and [...]
