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[DOC File]Injections: Medi-Cal Vaccines Code List (inject vacc)
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Title: Injections: Medi-Cal Vaccines Code List (inject vacc) Author: NDavis Description: RP pgs. all (07-11-02) RP pgs. all 1 (09-05-03) RP pgs. all (10-07-03) LB pgs. all (9.8.04) LB pg. 1 (10.10.05) LB pg. 1 (2.7.06) LB pg. 1 (6.6.06) LB pg. 1 (11.7.06) LB pg. 1 (12.7.06) LB pg. 1 (7.10.07) LB pgs. all (10.3.07) no content change, only Properties title format LB pg. 1 (10.10.07) LB pg. 1 (12 ...

[DOC File]Child Health Services/Early and Periodic Screening ...
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Take-home drugs are not covered. Drugs loaded into an infusion pump are not classified as “take-home drugs.” Refer to payable CPT code ranges 96365 through 96379. B. When submitting Arkansas Medicaid drug claims, drug units should be reported in multiples of the dosage included in the HCPCS procedure code description.

[DOC File]ARKids First-B Section II
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Take-home drugs are not covered. Drugs loaded into an infusion pump are not classified as “take-home drugs.” Refer to payable CPT code ranges 96365 through 96379. B. When submitting Arkansas Medicaid drug claims, drug units should be reported in multiples of the dosage included in the HCPCS procedure code description.

[DOCX File]B.
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For provider-purchased vaccine stock administered to patients 19-20 years of age, bill the MCOs by submitting the vaccine-specific CPT code following the MCO directions. Since Vaccines for Children (VFC) program does not cover patients 19 years of age and older, the MCO is responsible for reimbursement of vaccines administered to this age group ...

EOC
Immunization CPT HCPCS ICD-9-CM Diagnosis* ICD-9-CM Procedure DTaP 90698, 90700, 90721, 90723 99.39 Diphtheria and tetanus 90702 Diphtheria 90719 032, V02.4 99.36 Tetanus 90703 037 99.38 Pertussis 033 99.37 IPV 90698, 90713, 90723 045, 138, V12.02 99.41 MMR 90707, 90710 99.48 Measles and rubella 90708 Mumps and rubella 90709 Measles 90705 055 ...

[DOC File]CHDP Transition to National Standards (chdp trans)
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(CHDP) billers to submit CPT codes on a CMS-1500 or UB-04 claim form, rather than continuing to . submit CHDP codes on a Confidential Screening/Billing Report (PM 160). Providers who render Early and Periodic Screening, Diagnostic and Treatment/CHDP (EPSDT/CHDP) services in a school-based

BPHC UDS Manual - 2014-15
Generally, these involve situations where (a) the State uses unique billing codes, other than the normal CPT code, for State billing purposes (e.g., EPSDT) or (b) internal or State confidentiality rules mask certain diagnostic data. The following provides examples of problems and solutions.

Mass.Gov
Service Code 99407 (smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes) may also be billed without a modifier to report an individual smoking and tobacco-use cessation counseling visit of at least 30 minutes.

[DOC File]Vaccines For Children (VFC) Program (vaccine)
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CPT-4 code 90669 requires modifier SL if a VFC vaccine is used. CPT-4 code 90732 may be billed with modifier SL and/or modifier SK. Providers billing Medi-Cal pneumococcal injection code 90732 for recipients who qualify to receive the free VFC pneumococcal vaccine . must justify in the Remarks field (Box 80)/Reserved for Local Use

[DOC File]TITLE 10
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Indicator Description “L” "L" preceding any procedure code indicates that the complete narrative for the code is located at N.J.A.C. 10:66-6.3. “N” "N" preceding any procedure code means that qualifiers are applicable to that code.

Cpt code 90698 description