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kinrix vaccination

Shade Posted Tue 08th of July, 2014 17:04:49 PM

what is the DX. code for kinrix vaccine. please help.

Shade Posted Tue 08th of July, 2014 17:12:03 PM

what is the DX. code for menactra vaccine.

Shade Posted Tue 08th of July, 2014 17:25:12 PM

please what is the cpt and DX. code for titer. please help.

SuperCoder Answered Tue 08th of July, 2014 17:53:43 PM

Kinrix

You should use 90696 (Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated [DTaP-IPV], when administered to children 4 through 6 years of age, for intramuscular use). Use V20.2; Routine infant or child health check when given during a routine preventative service. Use V06.3 (Need for prophylactic vaccination with diphtheria-tetanus-pertussis with poliomyelitis [DTp + polio] vaccine)when vaccine is given outside the PMS (missed shot or catch up during sick visit). CPT 2009 established the code to report a combination vaccine to protect against pertussis (whooping cough), diphtheria, tetanus, and poliomyelitis (polio) in a single injection.

Kinrix combines the DTaP (diphtheria, tetanus toxoids, and acellular pertussis) and IPV (poliovirus inactivated) vaccines. You previously had no code that represented this combination. Because CPT disallows coding each component of a combination vaccine separately, such as reporting the DTap portion with 90700 (Diphtheria, tetanus toxoids, and acellular pertussis vaccine [DTaP], when administered to individuals younger than 7 years, for intramuscular use) and the IPV component as 90713 (Poliovirus vaccine, inactivated [IPV], for subcutaneous or intramuscular use), you had to use an unlisted procedure code (meaning 90749, Unlisted vaccine/toxoid), per CPT’s "Vaccines, Toxoids" instructions.

Expect staff to administer the vaccine "as a booster dose to healthy children 4 to 6 years of age who completed the recommended immunization schedule for DTaP and poliovirus during their infancy," according to CPT Changes 2009 -- An Insider’s View. Kinrix is indicated for the fifth DTaP and fourth dose IPV in 4 to 6 year olds whose previous DTaP vaccine doses have been with Infanrix (90700, DTaP) and/or Pediarix (90723, Diphtheria, tetanus toxoids, acellular pertussis vaccine, Hepatitis B, and poliovirus vaccine inactivated [DTaP-Hep B-IPV], for intramuscular use). The diagnosis code you would use is V20.2; Routine infant or child health check when the vaccine is given during a preventative visit and V06.3; Need for prophylactic vaccination with diptheria-tetanus-pertussis with poliomyelitis (DTP+ polio) vaccine when given during outside the PMS (missed shot or catch up during sick visit).

For a Menactra vaccination, you should report the product with these codes:

Code 90734; Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for intramuscular use. Diagnosis code to use will be V20.2; Routine infant or child health check when given during a preventative visit and V03.89; Other specified vaccinations against single bacterial diseases; other specified vaccination when given outside the PMS (missed shot or catch up during sick visit).

Thanks for your question.

Shade Posted Wed 09th of July, 2014 08:43:03 AM

Thank you for your response. Why can i useV01.84 as DX code for menactra 90734.

SuperCoder Answered Wed 09th of July, 2014 09:41:24 AM

You are welcome. V20.2; Routine infant or child health check would be the better choice for the vaccine. V01.84 is for contact or exposure to meningococcus.

Shade Posted Wed 09th of July, 2014 09:48:29 AM

pls. what is the best cpt code and DX. code for TITER VACCINE.

SuperCoder Answered Wed 09th of July, 2014 10:56:00 AM

I will need additional information as there are various Titer vaccines. Are you referring to Hepatitis, MMR, etc?

Thank you.

Shade Posted Wed 09th of July, 2014 16:25:06 PM

WHAT IS THE CODE FOR FLU MISTY. THE FLU VACCINE FOR NASAL SPRAY. PLEASE HELP.

Shade Posted Wed 09th of July, 2014 16:43:53 PM

since titer is more antibody screening is 36400 and 36410 be more appropriate for blood drawn than regular venipuncture code 36415. please advise.

SuperCoder Answered Wed 09th of July, 2014 19:12:45 PM

Flu Mist is reported with 90672; Influenza virus vaccine, quadrivalent, live, for intranasal use. When a patient receives Flu Mist vaccine, the provider administers four valences (tetravalent) of influenza virus vaccine intranasally (within the nose).

SuperCoder Answered Thu 10th of July, 2014 07:42:40 AM

As for the Titer questions, please provide the type of Titer you are referring to in your questions so that I will be able to provide you with an answer.

Thanks

Shade Posted Thu 10th of July, 2014 08:50:41 AM

The blood was drawn in the office sent to lab to confirm antibody of immunization. Will i code for blood drawn and use 36400 and 36410 for antibody screening or the regular venipuncture code 36415. i will really appreciate your help.

SuperCoder Answered Thu 10th of July, 2014 09:17:14 AM

The patient's age, the vein, and the physician's role all give clues to the appropriate venipuncture code. A physician must draw blood from the femoral or jugular vein in a patient younger than age 3 to support 36400. The descriptor has a semicolon preceding "femoral or jugular vein," which means the venipuncture is from one of these veins.
Code 36400 describes a technically difficult procedure.

For instance, a child has already had numerous phlebotomies of the arms and legs. Because of the exceptional need for the laboratory evaluation and the condition of the old phlebotomy sites in the arms and legs, the physician elects to draw blood from the femoral or jugular vein.

You should report 36410 when the physician performs an unusual venipuncture on children 3 years or older and adults. When your physician documents that the venipuncture requires his skill as a physician, you should use 36410. You shouldn't bill this code if a nurse or physician assistant administers the venipuncture; bill 36415 instead for collection of venous blood by venipuncture. This procedure is performed by medical practitioners, paramedics, phlebotomists, and other nursing staff.

Be sure to review your documentation prior to selecting the code. More than likely your code will be 36415 for a routine lab draw.

Thanks for your question.

Shade Posted Thu 10th of July, 2014 09:35:42 AM

what is the DX. code for pt. come in just for blood pressure check. thabk for your help.

SuperCoder Answered Fri 11th of July, 2014 07:16:17 AM

You will need the documentation to determine the appropriate diagnosis code based on the findings and the reason the patient is having their blood pressure checked.

*If the patient is absent of hypertension and has an elevated blood pressure, the appropriate diagnosis code will be 796.2; Elevated blood pressure reading without diagnosis of hypertension.

*If the patient is absent of hypotension and has a low reading, the appropriate code is 796.3; Nonspecific low blood pressure reading.

*In a patient with a normal reading, absent of hypertension and hypotension, use V81.1; Screening for hypertension.

*If your patient is coming in for a blood pressure check and the patient has a documented diagnosis of hypertension, assign a code from the 401-405 series.

Thanks for your question.

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