tci Part B Insider - 2009 Issue 36

VACCINES: Differentiate Between CPT's New H1N1 Admin Code Vs. CMS's

Code 488.1 does not guarantee a confirmed dx. Swine flu has made an early arrival in several states and in your 2009 preventive and sick coding. To avoid denials for H1N1 vaccination administration, you'll have to check which of three administration code options your major payers want. "Some payers want you to use the new code, others want you to use Medicare's code, and others want you to use the regular vaccine administration codes," says Richard Tuck, MD, FAAP, pediatrician at PrimeCare of Southeastern Ohio in Zanesville. Best bet: Create a spreadsheet that lists which H1N1 vaccine...

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