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Tsis txhob nco qhov hloov tshiab. Sau npe kom tau txais xov xwm Alliance tus kws kho mob.

2018-2019 Influenza Season Billing/Coding Updates

Tus neeg muab kev pabcuam Icon

Txhua tus tswvcuab Alliance tsim nyog tau txais cov tshuaj tiv thaiv kab mob npaws. Cov tswv cuab uas txuas nrog koj qhov kev coj ua lossis rau lwm tus PCP ua tsis yog xav tau kev xa mus txhaj tshuaj tiv thaiv. Cov lej hauv qab no muaj feem xyuam rau txhua kab ntawm kev lag luam.

Tshuaj tiv thaiv npe Kev noj tshuaj Hnub nyoog Group CPT Code
Afluria® (IIV4) 0.5 mL tsis muaj preservative,

cais kab mob

5 xyoos & laus dua 90686
Fluad® (IV) 0.5 ml yog ' 65 xyoo & laus dua 90653
Fluarix® (IIV4) 0.5 mL tsis muaj preservative,

cais kab mob

6 hli & laus dua 90686
Flublock Quadrivalent® (RIV4) 0.5 mL tshuaj tua kab mob /

preservative dawb

18 xyoo & laus dua 90682
Flucelvax® (CCIIV4) 0.5 mL tshuaj tua kab mob /

preservative dawb

4 xyoos & laus dua 90674
0.5 mL tshuaj tua kab mob dawb 4 xyoos & laus dua 90756
FluLaval® (IIV4) 0.5 mL tsis muaj preservative,

cais kab mob

6 hli & laus dua 90686
0.5 mL split virus 6 hli & laus dua 90688
Flumist Quadrivalent® (LAIV4) 0.2 mL nyob tus kab mob intranasal

tshuaj tsuag

2a49 xya 90672
Fluzone® (IIV4) 0.25 mL tsis muaj preservative,

cais kab mob

6 mus rau 35 muaj 90685
0.5 mL tsis muaj preservative,

cais kab mob

3 xyoos & laus dua 90686
0.5 mL split virus 6 hli & laus dua 90688
Fluzone® Intradermal (IIV4-ID) 0.1 mL tsis muaj preservative 18-64 xyoo 90630
Fluzone® High Dose (IV) 0.5 mL tsis muaj preservative 65 xyoo & laus dua 90662
* Ua tau zoo Jan. 1, 2019, tus Alliance yuav nyiaj rov qab rau CPT90689.

Puas yog koj tam sim no cuv npe hauv VFC Program?

Qhov Kev Pabcuam Vaccines For Children (VFC) yog ib qho kev pab cuam los ntawm tseemfwv qibsiab uas muab tshuaj tiv thaiv yam tsis tau them nqi rau cov menyuam uas tsim nyog uas yuav tsis tau txhaj tshuaj tiv thaiv vim tsis muaj peev xwm them taus.

Cov ntaub ntawv VFC Program

  • Tsuas yog cov menyuam yaus hnub nyoog qis dua 19 xyoos thiaj li tau txais kev pabcuam VFC
    • Cov menyuam yaus tsim nyog yog tias lawv yog:
      • Medicaid tsim nyog los yog;
      • Tsis muaj pov thawj los yog;
      • Underinsured los yog;
      • American Indian/Native American
  • Thaum siv VFC Tshuag, txuas ntxiv hloov kho SL rau tus lej tshuaj tiv thaiv
    • Modifier SL qhia VFC cov khoom siv thiab tsuas yog tso cai them rov qab rau kev tswj hwm cov tshuaj tiv thaiv

Raws li Medi-Cal Cov Lus Qhia, “Medi-Cal cov cai txhaj tshuaj tiv thaiv kab mob them nqi rau cov neeg tau txais kev tsim nyog tau txais cov tshuaj tiv thaiv VFC yuav raug them rov qab tsuas yog hauv cov ntaub ntawv teev tseg ntawm cov tshuaj tiv thaiv tsis txaus, kab mob sib kis, teeb meem xa tshuaj tiv thaiv, lossis cov xwm txheej thaum tus neeg tau txais tsis tau raws li qhov tshwj xeeb. Cov xwm txheej xav tau rau VFC cov tshuaj tiv thaiv tshwj xeeb. Ib tus kws kho mob tsis tuaj koom rau hauv VFC qhov kev pab cuam tsis yog ib qho kev zam.

Yuav ua li cas them nqi:

  • Tsis txhob them tus lej CPT nrog SL hloov kho
  • Cov ntaub ntawv "tsis yog-VFC" hauv lub thawv 19 ntawm CMS daim ntawv thov lossis lub thawv 80 ntawm UB-04 daim ntawv thov
  • Txhua qhov kev thov yuav tsum raug them nqi ntawm UB-04, CMS-1500 lossis lawv qhov sib npaug hauv hluav taws xob.

Xa daim ntawv thov mus rau Sharlene Gianopoulos, Tus Thawj Saib Xyuas Haujlwm Kev Pabcuam, ntawm [email protected].