Wiki TDaP vaccine

[kcadore]

Can someone please help me what cpt to use for a patient over 65? Per Medicare 90715 is only for patients 10-64. The patient came into our office and requested an immunization update. The patient did sign an ABN. Medicare denied as a coding error. They also told me that the ABN is only for medical necessity, so the patient is not responsible. Please help!!

 

[btadlock1]

Can someone please help me what cpt to use for a patient over 65? Per Medicare 90715 is only for patients 10-64. The patient came into our office and requested an immunization update. The patient did sign an ABN. Medicare denied as a coding error. They also told me that the ABN is only for medical necessity, so the patient is not responsible. Please help!!

It's covered under Part D, I believe. (see:http://www.healthplus.org/uploadedFiles/PDFs/Medicare/Poster VaccAdm Drug List 0508.pdf)

https://www.cms.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf