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Part B Insider (Multispecialty) Coding Alert

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 members had complained about similar denials for 90665 (Lyme disease vaccine, adult dosage, for intramuscular use) and 90701 (Diphtheria, tetanus toxoids, and whole cell pertussis vaccine [DTP], for intramuscular use), with the denial reason being that the codes had been deleted from CPT®. Reality: The AMA will be deleting these codes, but not until 2013. Therefore, a recent [...]