Medical Billing Forum
Coding => Coding => : dina716 October 20, 2009, 12:45:00 AM
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Can anyone please help me - I've been researching for about four hours now and I give up. :'(
Patient sees physican in Rockland County, NY
Patient has UHC EMPIRE PLAN
Patient in for Office Service: 99203 (New Pt. Moderate)
Patient diagnosis': 477.9 Allergic Rhinitis and 519.11 Acute bronchospasm
Patient needs and gets:
Meningococcal vaccination and administration of said vaccine.
My research has led me to 'assume' it is:
90471 (first immunization given during a single patient encounter);
then...
90734 Meningococcal conjugate vaccine, serogroups A, C, Y, and W-135 (tetravalent), for intramuscular use (Menactra) OR...
90733 Meningococcal polysaccharide vaccine, for subcutaneous use (Menomune)
with...
V03.89 (Need for prophylactic vaccination and inoculation against bacterial diseases; other specified vaccinations against single bacterial diseases; other specified vaccination)
But I'm not sure because then I read something about a "G" code too. Can anyone help me? :-\
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I would go with the codes you have listed. You could call UHC/Empire Plan and ask them which one they prefer, but usually they go with CPT codes.
Michele
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And what about a G code? Do you think I need that?
And thank you so much for getting back to me. :)
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You will only need that if that is what the specific insurance carrier requires. I would go with the others, but if denied, it may be the G code they are looking for.
Michele