Watch for Preservatives, Payer on Flu Shots or Risk Denials
Published on Wed Jan 28, 2009
G codes will ensure that your Medicare claims process smoothly. Remember the different reporting rules for Medicare and private payers, or denials for your physician's vaccination services could leave you feeling queasy. Check out this primer on separating the coding rules for flu vaccinations. Check the Box for Preservative Answers When reporting the flu vaccine supply, choose from either 90656 (Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use) or 90658 (Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use), confirms Deb Chandler, BA, CPC, ACS-FP, CCP, with FPA in Columbus, Ohio. You'll use 90656 for vaccines without preservatives, and 90658 when the vaccines contain preservatives, Chandler says. How to tell: Check the packaging on the vaccine, recommends Jan Allen, claims and accounts receivable manager for a four-physician practice in Santa Paula, [...]
