wannabecoder
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How should one code for injections when the provider does 4 immunizations and one of them is not eligible for benefits? My doctor did Hep A, Hep B, Dtap and Polio and the payor allowed all but the Hep A because it needed a PA. We billed 90741 for the first shot and then 90472 with 3 units for the 3rd shot. Is that correct? Or should they all have been 90471? The payor denied the 3 unit charges then we got them to be reprocessed but they unbundled the 90472 and allowed 2 of the adm fees and denied the other one due to no PA. Is that correct for billing and for payor processing? Any thoughts out there?
Thanks!
Thanks!