OK, so I thought I got these new admin codes and now I am not so sure.....
I am unclear as to billing the new counseling admin codes when there are multiple vaccines involved.
Example:
90670 - Prevnar 13 (1 component)
90723 - Pediarix (5 components)
90645 - HIB (1 component)
Counseling done on all vaccines.
In 2010 we would have billed:
90465 x 1
90466 x 2
90670, 90723, 90645
In 2011, would we be billing
90460 x 1
90461 x 6
90670,90723,90645
OR
90460 x 1
90670
90460 x 1
90461 x 4
90723
90460 x 1
90645
The 2011 CPT description for 90461 reads "each additional vaccine/toxoid component" so I would think that meant additional components whether the same or another vaccine but I am being told that is incorrect.
Can anyone tell me which scenario is correct? And if you know of any documentation to back it up I would also greatly appreciate it!
Thanks so much!!
I am unclear as to billing the new counseling admin codes when there are multiple vaccines involved.
Example:
90670 - Prevnar 13 (1 component)
90723 - Pediarix (5 components)
90645 - HIB (1 component)
Counseling done on all vaccines.
In 2010 we would have billed:
90465 x 1
90466 x 2
90670, 90723, 90645
In 2011, would we be billing
90460 x 1
90461 x 6
90670,90723,90645
OR
90460 x 1
90670
90460 x 1
90461 x 4
90723
90460 x 1
90645
The 2011 CPT description for 90461 reads "each additional vaccine/toxoid component" so I would think that meant additional components whether the same or another vaccine but I am being told that is incorrect.
Can anyone tell me which scenario is correct? And if you know of any documentation to back it up I would also greatly appreciate it!
Thanks so much!!