tci Part B Insider - 2014 Issue 21

Reader Question: Watch for Flu Shot Bundles

Question: We have been receiving denials for flu vaccine codes when submitted with E/M visits and other in-office procedures. We have been using modifier 25 with these E/M codes and have also reported the flu vaccine code. What can be the rationale for these denials? Is our reporting not appropriate? Answer: You need to again check the codes that you are submitting. The Correct Coding Initiative (CCI) bundles E/M office or inpatient codes into the following vaccine administration codes:  90460 (Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.