lmlaprise
Contributor
I am attempting to bill medicare for multiple injections and not succeeding.
The patient received an flu shot (G0008 and 90658) as well as a Decavac (90714) on the same day. I billed CPT code 90471 for the administration of the Decavac and medicare denied.
I know that medicare is not going to cover the Decavac (90714) but will pay for the administration. I have several examples of patients who ONLY received the Decavac and the admin was paid but the vaccination was denied.
See example below:
1014 101410 11 1.0 36415
1014 101410 11 1.0 G0008
1014 101410 11 1.0 90658
1014 101410 11 1.0 90471 REM: M80
1014 101410 11 1.0 90714 0 PR-204
Medicare denied as M80...not billable during same session, but I KNOW THAT THEY WILL PAY IF THE FLU SHOT WAS NOT DONE ON SAME DAY...so why wont they pay with another injection?
The patient received an flu shot (G0008 and 90658) as well as a Decavac (90714) on the same day. I billed CPT code 90471 for the administration of the Decavac and medicare denied.
I know that medicare is not going to cover the Decavac (90714) but will pay for the administration. I have several examples of patients who ONLY received the Decavac and the admin was paid but the vaccination was denied.
See example below:
1014 101410 11 1.0 36415
1014 101410 11 1.0 G0008
1014 101410 11 1.0 90658
1014 101410 11 1.0 90471 REM: M80
1014 101410 11 1.0 90714 0 PR-204
Medicare denied as M80...not billable during same session, but I KNOW THAT THEY WILL PAY IF THE FLU SHOT WAS NOT DONE ON SAME DAY...so why wont they pay with another injection?
