nc_coder
Expert
There is a new flu vaccine for 65 and older with a higher dose this year. Does anyone know if this is billed under a different CPT than the regular?
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Wiki High dose flu vaccine
- Thread starter nc_coder
- Start date
Lisa Bledsoe
True Blue
90662
BRENDA28
Networker
Hi Lisa-
Have you recived payment for this cpt code yet?
Have you recived payment for this cpt code yet?
cmcgarry
Guest
I'm not Lisa
, but I do know that CMS has a hold on that CPT code, per the following:Medicare Part B
Holding Claims Containing CPT 90662
CMS is changing the status indicator for CPT code 90662 from "E" to "L" in the October 2010 Integrated Outpatient Code Editor (IOCE). This affects claims with dates of service on and after December 23, 2009, and before October 1, 2010.
CMS is instructing contractors to hold claims submitted during this period and to release them for processing after the implementation of the October 2010 IOCE. There is no action for providers to take on claims containing CPT code 90662 that are held because the IOCE will be updated. If a provider is aware of claims that were processed in error before the claims hold began, the provider should request its contractor to adjust the claims.
Source: JSM/TDL 10389 dated August 16, 2010
Posted: 8/17/2010
So, if you are already administering the high dose shots, they should be held; if processed and denied you need to request your contractor adjust the claims.
Hope this helps!
BRENDA28
Networker
Very good. We have them but will wait on billing.
Thank You Very Much!
Thank You Very Much!