CPT code 90662 is a specific code used to identify a vaccine for influenza, helping healthcare providers document and track immunizations accurately.
CPT code 90662 is used to identify the administration of an influenza virus vaccine that is preservative-free and contains a higher antigen content, specifically designed for individuals who may require a stronger immune response, such as older adults. This code is utilized by healthcare providers to accurately document and bill for the administration of this particular type of flu vaccine, ensuring proper reimbursement and tracking within the healthcare revenue cycle.
For CPT code 90662, which pertains to the administration of a specific type of influenza vaccine, the following modifiers may be applicable:
1. Modifier 25: Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service. This modifier is used when a patient receives a vaccine and also has a separate evaluation and management service on the same day.
2. Modifier 59: Distinct procedural service. This modifier is used to indicate that the vaccine administration is distinct or independent from other services provided on the same day.
3. Modifier 76: Repeat procedure or service by the same physician or other qualified health care professional. This modifier is used if the vaccine is administered more than once on the same day by the same provider.
4. Modifier 77: Repeat procedure by another physician or other qualified health care professional. This modifier is used if the vaccine is administered more than once on the same day by a different provider.
5. Modifier 95: Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system. This modifier is used if the vaccine administration is part of a telemedicine service, although this is less common for vaccines.
6. Modifier 99: Multiple modifiers. This is used when more than four modifiers are necessary to describe the service.
These modifiers help ensure accurate billing and reimbursement by providing additional context for the services rendered. It's important to use them appropriately to avoid claim denials or delays.
CPT code 90662 is reimbursed by Medicare, as it is included in the Medicare Physician Fee Schedule (MPFS). The MPFS is a comprehensive listing of fees used by Medicare to reimburse healthcare providers for services and procedures.
However, the reimbursement for CPT code 90662 can vary based on geographic location and other factors, as determined by the Medicare Administrative Contractor (MAC) responsible for processing claims in a specific region.
Each MAC has the authority to interpret Medicare policies and set local coverage determinations, which can influence the reimbursement rates and conditions for specific CPT codes like 90662.
Therefore, healthcare providers should consult their respective MAC for precise reimbursement details and any additional requirements that may apply.
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