CPT^® 90649, Under Vaccines, Toxoids

The Current Procedural Terminology (CPT^®) code 90649 as maintained by American Medical Association, is a medical procedural code under the range - Vaccines, Toxoids.

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Summary

The provider injects an altered form of the human papilloma virus, or HPV, into a muscle to provide immunity to four types of HPV, a cause of genital warts and cervical cancer. He administers the vaccine as part of a three–dose schedule.

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90649 Units or mls? 90649

When billing for 90649 do we bill as one unit or 0.5 mls?... [ Read More ]

Wart Treatment - Gardasil

One of our providers wishes to treat common warts with Gardasil injections. Gardasil does not currently have a J code. Only 90649/90471 related to vaccination series for HPV. Would 17110 be appropri... [ Read More ]

90471, 90649 vs 96372

Yes you still have to bill the 90649 - we have a modifier that we use for patient supplied meds that zeros out the fee.... [ Read More ]

90471, 90649 vs 96372

[I]90471 $XXX.XX 90649 $0 or $0.01 depending on whether your system can handle $0 charges or not[/I]... [ Read More ]

90471, 90649 vs 96372 90471 96372 immunization injection vaccine

When a patient requests a Gardasil immunization, the patient picks it up directly from the pharmacy. The patient picks up ONE dose of the vaccines, brings it to our office, and our MD injects the pati... [ Read More ]

note review help

Two questions: 1. do you see URI supported in this documentation? 2. Do you see E&M supported? Below is the note....any help would be appreciated. I don't believe there is sufficient documentation... [ Read More ]

90471 denials 90471 age

We are getting denials for CPT code 90471 from everyone. The denial states "Not eligible due to the patient's age". The patient is 23 years old, and got the HPV vaccine (90649). I have never seen t... [ Read More ]

HPV Vaccine question

Each code is for a different vaccine. 90649 = Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use 90650 = Human Papillomavirus vaccine, typ... [ Read More ]

HPV Vaccine question

In the CPT: HPV vaccines are listed as 90649, 90650 and 90651. Are we to code the first dose as 90649 and the second dose as 90650 and so on? Can someone please explain these three codes for HPV? T... [ Read More ]

HPV Vaccine given to patient over 26 age hpv inappropriate cpt patient vaccine

Hello, One of our providers gave an HPV vaccine to a patient over the age of 26. Obviously Medicaid denied the 90649 code due to patient age. In cases like this, do I just go back and tell the provi... [ Read More ]

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