CPT^® 90476, Under Vaccines, Toxoids

The Current Procedural Terminology (CPT^®) code 90476 as maintained by American Medical Association, is a medical procedural code under the range - Vaccines, Toxoids.

Additional/Related Information

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Summary

In this procedure, the provider harvests the adenovirus vaccine, live type 4, for oral use from human diploid tissue and administers it to the patient to promote immunity against the adenovirus.

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Denial for 90471 when billed with 90746 and 86580

My bad, I said the correct vaccine in the title of this post but the wrong one in the body of it. I am actually inquiring about 90746 for HepB not 90476. Thank you for the response though :)... [ Read More ]

Denial for 90471 when billed with 90746 and 86580

Hi, have you noticed the parenthetical note for the CPT code 90471? how about the code description for the CPT code 90476? They do contradict. That is why you keep getting a denial. 90476 is for oral ... [ Read More ]

Denial for 90471 when billed with 90746 and 86580

Hello, I am currently receiving denials from Select Health for the 90471 code even though it is billed with an immunization (90476) if 86580 is also on the claim. They are denying it for subset proce... [ Read More ]

90460 denials from McKesson edits

[QUOTE="lgrant101, post: 418231, member: 222635"]We recently got a denial from Cigna disallowing the 90460 when billed with 90651. They use the Clear Claim Connection through McKesson and when I went ... [ Read More ]

90460 denials from McKesson edits

We recently got a denial from Cigna disallowing the 90460 when billed with 90651. They use the Clear Claim Connection through McKesson and when I went on there it also disallowed the code. We billed... [ Read More ]

Help Coding

Hi.. I will offer some assistance. But, it is important that you are able to code these cases on your own for optimal learning. so I will assist you with getting started and determining main terms an... [ Read More ]

Tetnus injection due to injury

Codes 90476-90748 identify the vaccine product only. To report the administration of a vaccine/toxoid, the vaccine/toxoid product codes 90476-90749 must be used in addition to an immunization administ... [ Read More ]

Ncci edits

Generally speaking, the higher RVU should be the CPT code in column 1. However, CPT directs you to report the immunization code separately, appending modifier -25 to the preventive medicine code. Ref... [ Read More ]

Coding For Vaccines & Administration

Good Afternoon Subject Matter Experts, The following is an accurate statement: CPT Coding of Vaccines and Administration Physicians may report the administration of vaccines using codes 90465-90474.... [ Read More ]

Which one is the add on code? 90471 and 90746

I am not sure what you are looking for the term add on does not apply to this scenario. Add on codes are designated in the CPT book and indicate when one procedure is always performed initially and t... [ Read More ]

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