CPT code 90675 is a specific code used to identify the rabies vaccine for immunization purposes in healthcare documentation.
CPT code 90675 is used to identify the administration of the rabies vaccine via intramuscular injection. This code is specifically utilized by healthcare providers to document and bill for the provision of the rabies vaccine, which is crucial for preventing rabies infection in individuals who have been exposed to the virus or are at risk of exposure. The use of this code ensures accurate tracking and reimbursement for the vaccine administration within the healthcare revenue cycle.
For CPT code 90675, which pertains to the rabies vaccine administered intramuscularly, 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 significant, separately identifiable evaluation and management service is performed by the same physician on the same day as the vaccine administration.
2. Modifier 59: Distinct Procedural Service. This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It may be applicable if the rabies vaccine is administered in conjunction with other procedures that are not typically performed together.
3. Modifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional. This modifier is used if the rabies vaccine needs to be 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 rabies 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. While not typically applicable to vaccine administration, if any part of the service involves telemedicine, this modifier may be used.
6. Modifier 99: Multiple Modifiers. This is used when two or more modifiers are necessary to describe the service provided.
These modifiers help ensure accurate billing and reimbursement by providing additional context for the services rendered. It is essential to use them appropriately to avoid claim denials or delays.
CPT code 90675, which is associated with the rabies vaccine administered intramuscularly, is indeed reimbursed by Medicare under specific circumstances. The reimbursement for this code is determined by the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for services and procedures covered by Medicare. However, it's important to note that the coverage and reimbursement can vary based on the specific Medicare Administrative Contractor (MAC) jurisdiction. Each MAC may have different local coverage determinations (LCDs) that affect whether and how a particular service is reimbursed. Therefore, healthcare providers should verify the specific coverage details with their respective MAC to ensure compliance and proper reimbursement for CPT code 90675.
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