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2016

Patricia Posted Tue 05th of January, 2016 14:53:34 PM

Good Morning, I have the list of deleted codes but have no idea what to replace them with? Any idea where I may find this? The CPT code for HIB 90645 is deleted but has no active code it is referring to? Help.

Thanks in advance.

SuperCoder Answered Wed 06th of January, 2016 09:00:47 AM

Thanks for the Query

As AMA does not provide crosswalk codes for this deleted code so appropriate code would be 90749.

Patricia Posted Tue 19th of January, 2016 18:42:21 PM

THIS QUESTION IS 2 WEEKS OLD, BUT I JUST GOT A DENIAL FROM TRICARE STATING IT IS AN UNLISTED CODE AND CAN NOT BE USED TO USE THE CORRECT HCPCS CODE? I AM AT A LOSS. PLEASE HELP.

SuperCoder Answered Wed 20th of January, 2016 09:26:53 AM

Thanks for the Query

As AMA has not provided crosswalk code for Cpt 90645. Please provide Hib conjugate and dosimetery documented in medical record.If your documentation supports Hib, PRP-OMP conjugate, 3 dose schedule, for intramuscular use or Hib, PRP-T conjugate, 4 dose schedule, for intramuscular use then code 90647 or 90648, otherwise please provide complete information.

Patricia Posted Sat 23rd of January, 2016 00:38:16 AM

PREVIOUS YOU STATED TO USED THE 90749? SO NOW YOU ARE SAYING TO USE THE 90647 FOR 4 DOSE AND THE 90648. AM I THE ONLY ONE HERE THAT IS CONFUSED? NOW I AM LOST.

SuperCoder Answered Wed 27th of January, 2016 10:23:04 AM

Thanks for the Query

As per AMA no crosswalk for cpt 90645 hence we have suggested unlisted code and if insurance is denying unlisted code we can use 90647 and 90648 according to dose documented.

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