CPT code 90692 is a specific code used to identify the Typhoid vaccine administered via subcutaneous or intradermal routes.
CPT code 90692 is used to identify the administration of the typhoid vaccine via hypodermic (h-p) subcutaneous (sc) or intradermal (id) injection. This code is utilized by healthcare providers to document and bill for the specific service of administering the typhoid vaccine, which is crucial for preventing typhoid fever, a serious bacterial infection. Proper use of this code ensures accurate billing and reimbursement for the vaccination service provided.
For CPT code 90692, which pertains to the administration of the typhoid vaccine via subcutaneous or intradermal injection, 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 necessary if the vaccine administration is performed in conjunction with other procedures that are not typically reported together.
3. Modifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional. This modifier is used if the vaccine administration is repeated 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 administration is repeated on the same day by a different provider.
5. Modifier 91: Repeat Clinical Diagnostic Laboratory Test. Although not typically used for vaccine administration, this modifier might be applicable if the vaccine is part of a clinical study requiring repeated administration for testing purposes.
6. 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.
These modifiers help ensure accurate billing and reimbursement by providing additional context for the services rendered. It is important to verify payer-specific guidelines as they may have unique requirements for modifier usage.
CPT code 90692, which is associated with the administration of the typhoid vaccine, is not typically reimbursed by Medicare. The Medicare Physician Fee Schedule (MPFS) does not generally include routine vaccinations like the typhoid vaccine for reimbursement under Medicare Part B, as these are often considered preventive services not covered by Medicare. However, coverage can vary based on specific circumstances or settings, and it's essential to verify with the relevant Medicare Administrative Contractor (MAC) for any exceptions or specific regional policies that might apply. Always consult the latest MPFS and your MAC for the most accurate and up-to-date information regarding reimbursement policies.
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