Patricia Posted Thu 15th of September, 2016 16:50:01 PM
Please help.... We have been billing the above CPT and getting denials. Our Louisiana Medicaid has it approved for 19> and not the pediatrics? Is this an age specified vaccine? Please let me know.
Thanks in advance for your help.
SuperCoder Answered Fri 16th of September, 2016 05:07:20 AM
Can you please check the CPT 60621 once again. As we are not able to find the same.
Patricia Posted Sun 18th of September, 2016 16:15:14 PM
So sorry for the typo: CPT is 90621... Thanks,
SuperCoder Answered Mon 19th of September, 2016 03:09:35 AM
As for the CPT 90621, there is guideline which states that these vaccination are to be considered for the patients for the age between 10-25 years.
On October 29, 2014, the Food and Drug Administration (FDA) licensed the first serogroup B meningococcal vaccine (Trumenba®). FDA approved this vaccine for use in people 10-25 years of age as a 3-dose series. On January 23, 2015, FDA licensed a second serogroup B meningococcal vaccine (Bexsero®). FDA approved this vaccine for use in people 10-25 years of age as a 2-dose series. While there is no routine recommendation for serogroup B meningococcal vaccines at this time, physicians can use these vaccines for people 10-25 years of age consistent with the labeled indication.
Hope this helps.
Patricia Posted Thu 22nd of September, 2016 13:22:07 PM
Great thank you so much. That is what I have yet a rep of course is telling the physician different.
SuperCoder Answered Fri 23rd of September, 2016 05:16:34 AM