Coding Corner
Welcome
to our Coding Page! These are codes which have posed
issues in the recent past. The Alphabetical Index below
will bring you to the code, and the codes are in numerical
order so that you may scroll down to them to search by code.
Below this
is a Summary of the ICD-9-CM codes that are
relevant for pediatricians, alphabetically listed. It includes
about 70% of the codes on the AAP ICD-9-CM flip-chart, and there
are several that have been modified for 2004.
Several companies are requiring that the most specific code for
the illness be used; also, they want the most digits a particular
code has (some companies will actually reject a claim if it is
not the correct number!)
-
780.91 - Fussy infant (baby)
-
780.92 - Excessive cry of infant (baby)
-
87070 - Oxford
has been rejecting the
overnight strep code 87060. The
new code is 87070. If
you receive rejections
for this code, accumulate
the information and either
call or send to the Trumbel,
CT, office.
-
90465 -
Immunization
administration
under
8
years
of
age
(includes
percutaneous,
intradermal,
subcutaneous
or
intramuscular
injections)
when
the
physician
counsels
the
patient/family;
first
injection
(single
or
combination
vaccine/toxoid),
per
day. (Do
not
report
in
conjunction
with
90467)
-
90466 -
Each
additional
injection
under
8
years
of
age
(includes
percutaneous,
intradermal,
subcutaneous
or
intramuscular
injections)
when
the
physician
counsels the
patient/family;
(single
or
combination
vaccine/toxoid),
per
day. List
separately
in
addition
to
code
for
primary
procedure. (Use
in
conjunction
with
90465
or
90467)
-
90467 -
Immunization administration
under 8
years of
age (includes
intranasal or
oral
routes of
administration) when
the physician
counsels the
patient/family;
first
administration
(single
or
combination
vaccine/toxoid),
per
day. (Do
not
report
in
conjunction
with
90465)
-
90473 -
FluMist
administration
-
90645
-
906448 -
MDNY
is
paying
different amounts
for
the
various
products
90645,
46,
47,
and
48. Be
aware
of
the
different reimbursements.
-
90660 -
FluMist
-
90655-
Influenza,
preservative
free,
6-35 mo.
-
90732 -
Pnemococcal
Polysaccharide
Vaccine
- GHI
will
sometimes
reimburse
for
Prevnar
under
|
