Author Topic: United Healthcare Commercial keeps denying preventive code coded with vaccines  (Read 767 times)

DaveMoody

  • Newbie
  • *
  • Posts: 7
I don't know what the deal with United healthcare is, I recently discovered that anytime I code a preventive visit with vaccines, they'll deny the preventive code and pay for the vaccines.

I called United healthcare commercial about this and they told me anytime I code a preventive code with vaccines, a modifier has to be appended to the preventive visit. Of course I didn't bother to ask what that modifier might be because I had a feeling they wouldn't tell me.

Is there anyone who is familiar with the billing/coding policy for United commercial? Could you please tell me what modifier I'm supposed to append to a preventive code while coding it with vaccines? I would greatly appreciate it.

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4761
    • Solutions Medical Billing
Take a look at modifier 25.  If the patient's notes indicate that the preventative visit was separate from the vaccine then the 25 modifier may be appropriate.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com