Wiki Tetanus j code?

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Pillow1

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For a medicare patient i billed 90718 and 90471 / vo6.5
but it was denied as a co 96 non covered item...
Is this a benefit that only covered once?
Any feedback is appreciated.
Thanks :)
 
Tetanus is only covered when related to an injury

Tetanus and Tetanus/Diphtheria Toxoids (90702, 90703, 90714, and 90718)
When filing claims for 90702, 90703, 90714, or 90718, the primary diagnosis should be one of the ICD-9 "V" codes indicating the need for prophylactic vaccination against bacterial diseases or combinations of diseases (V03.7 Tetanus toxoid alone or V06.5 tetanus-diphtheria) plus an injury related ICD-9 code as the secondary diagnosis. Tetanus or tetanus-diphtheria (Td) toxoids adsorbed are only covered when directly related to the treatment of an injury/wound. For further instructions, please visit the Centers for Medicare Medicaid Services website to view the Internet Only Manuals (IOM) – Medicare Benefit Policy Manual (Pub 100-2, Chapter 15, Section 50.4.4.2 - Immunizations

http://www.cms.gov/manuals/Downloads/bp102c15.pdf
 
RebeccaWoodward* said:
Tetanus is only covered when related to an injury

Tetanus and Tetanus/Diphtheria Toxoids (90702, 90703, 90714, and 90718)
When filing claims for 90702, 90703, 90714, or 90718, the primary diagnosis should be one of the ICD-9 "V" codes indicating the need for prophylactic vaccination against bacterial diseases or combinations of diseases (V03.7 Tetanus toxoid alone or V06.5 tetanus-diphtheria) plus an injury related ICD-9 code as the secondary diagnosis. Tetanus or tetanus-diphtheria (Td) toxoids adsorbed are only covered when directly related to the treatment of an injury/wound. For further instructions, please visit the Centers for Medicare Medicaid Services website to view the Internet Only Manuals (IOM) – Medicare Benefit Policy Manual (Pub 100-2, Chapter 15, Section 50.4.4.2 - Immunizations

http://www.cms.gov/manuals/Downloads/bp102c15.pdf
Click to expand...

Rebecca,

When I reference the Medicare Manual, all it says is that vaccines (except for the flu, pneumonia, and Hep B vaccines) are only covered if administered for treatment of an injury or exposure to disease. Where does it say that the V code has to be first and an open wound code as secondary. Can you point me to your source for this info or is this a local carrier guidance?
 
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