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Primary Care Coding Alert

Reader Questions:

Change to '70' Code for New Prevnar Vaccine

Published on Wed May 05, 2010

Question: We started receiving Prevnar 13 vaccine instead of Prevnar 7. Do I use the same coding? Ohio Subscriber Answer: You will switch the CPT code you use from 90669 (Pneumococcal conjugate vaccine, 7 valent, for intramuscular use) to 90670 (Pneumococcal conjugate vaccine, 13 valent, for intramuscular use). Prevnar 13 (PCV13) replaces Prevnar 7 (PCV7). Prevnar 13 adds protection against six more strains of the pneumococcal bacteria, according to The New York Times. Keep these points in mind for proper reporting and reimbursement: The corresponding V code is V03.82 (Other specified vaccinations against single bacterial diseases; streptococcus pneumoniae [pneumococcus]). With implementation underway, start contacting your payers about recognition and appropriate payment. It's a tedious task, but important for every group. As with the older vaccine, Prevnar 13 is given by intramuscular injection (Immunization administration code: 90465, +90466, 90471, or +90472) at 2 months, 4 months, 6 months (corresponding with infant [...]
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