laynemoore
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I'm getting many KS Medicaid denials for immunizations, in particular, use of 90658. KMAP explanation is code 1307. I'm looking for advice on what we're doing wrong.
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Wiki Immunizations for KS Medicaid
- Thread starter laynemoore
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dseyfried
Networker
There are new NCCI edits that bundle this into E/Ms. Did you bill an E/M, including preventive services, with the immunization? If so you will need to append a 25 modifier to the E/M. These are suppose to be corrected, but until use the 25 modifier.
laynemoore
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Sorry - newbie here. With the modifier on the E/M, do I also use 90658? What should be done when someone only comes in for a flu shot?