tlm5506
Networker
Hello.
Big debate in our office now about the correct way to bill for vaccines for patients receiving Dtap or other vaccines with multiple components. We are located in Michigan, and Medicaid and other low income or no insurance patients receive the vaccines free and we are only allowed to charge $23.03 for the administration. For a patient receiving a Dtap vaccine, we are using 90460 which would be for the 1st component of the vaccine, and then we are billing 90461 for the 2nd and 3rd component of the vaccine. Now we are being told that that is not the correct way to bill - that we should be using just the 90460, even if the vaccine has more than 1 component. Also, if a patient is receiving more than one vaccine, such as Dtap, PCV 13, Hep B, etc., I am wondering if 90460 should be listed 3 times or if the units should be changed to 3. This is really confusing. Any help would be appreciated.
Thanks.
Big debate in our office now about the correct way to bill for vaccines for patients receiving Dtap or other vaccines with multiple components. We are located in Michigan, and Medicaid and other low income or no insurance patients receive the vaccines free and we are only allowed to charge $23.03 for the administration. For a patient receiving a Dtap vaccine, we are using 90460 which would be for the 1st component of the vaccine, and then we are billing 90461 for the 2nd and 3rd component of the vaccine. Now we are being told that that is not the correct way to bill - that we should be using just the 90460, even if the vaccine has more than 1 component. Also, if a patient is receiving more than one vaccine, such as Dtap, PCV 13, Hep B, etc., I am wondering if 90460 should be listed 3 times or if the units should be changed to 3. This is really confusing. Any help would be appreciated.
Thanks.