DecisionHealth, DecisionHealth - 2012 Issue 4 (April)

Examine use of vaccine administration code 90471 to prevent denials

Look for more specific codes for vaccine administration and rules about coverage before using 90471 or risk denials. Denials for 90471 (immunization admin, $24.17) are on the rise. In 2010, 42.8% of claims with that code were denied, up from 36.3% in 2009, a Part B News analysis of Medicare data shows (PBN 4/9/12).

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