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Wiki Nirsevimab (RSV) Vaccine for High-Risk Patients (Single 200mg dose)

Thread starter dstivers
Start date Feb 12, 2025
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pediatric coding guidelines pediatrics vaccine

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dstivers

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Feb 12, 2025

CDC recommends a single 200mg dose of nirsevimab for patients at increased risk, but payers are denying the additional 100mg (even after appealing with CDC guidelines). How should a 200mg dose be coded? We've attempted a single service line with 2 units (90381 x2) and separate service lines (90381 and 90381-59). I appreciate any and all feedback!

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