tci Part B Insider - 2012 Issue 28

CPT® 2013: AMA Offers Sneak Peek at Upcoming Vaccine Coding Changes

If your payer is denying 90718, you should appeal through the end of the year. Your CPT book will be missing a few of your go-to vaccine codes next year, but that doesn't mean you should stop billing them now. Consider the following tips when coding your immunization services through the end of 2012. Real-life scenario: A reader contacted the Insider last week noting that her payer had suddenly started denying claims for 90718 (Tetanus and diphtheria toxoids adsorbed when administered to individuals 7 years or older, for intramuscular use). Other Supercoder.com members had complained about similar denials...

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