"CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association."
CDC – Childhood Immunization Schedule – Hepatitis B vaccine
Hepatitis B vaccine (HepB). (Minimum age: birth)
• Administer monovalent HepB to all newborns prior to hospital discharge.
• If mother is hepatitis B surface antigen (HBsAg)-positive, administer HepB and 0.5 mL of hepatitis B immune globulin (HBIG) within 12 hours of birth.
• If mother’s HBsAg status is unknown, administer HepB within 12 hours of birth. Determine the HBsAg status as soon as possible and if HBsAg-positive, administer HBIG (no later than age 1 week).
• If mother is HBsAg-negative, the birth dose can be delayed, in rare cases, with a provider’s order and a copy of the mother’s negative HBsAg laboratory report in the infant’s medical record.
After the birth dose:
• The HepB series should be completed with either monovalent HepB or a combination vaccine containing HepB. The second dose should be administered at age 1–2 months. The final dose should be administered no earlier than age 24 weeks. Infants born to HBsAg-positive mothers should be tested for HBsAg and antibody to HBsAg after completion of at least 3 doses of a licensed HepB series, at age 9–18 months (generally at the next well-child visit).
• It is permissible to administer 4 doses of HepB when combination vaccines are administered after the birth dose. If monovalent HepB is used for doses after the birth dose, a dose at age 4 months is not needed.
CPT: Report CPT 90740 for a 3-dose schedule for a dialysis or immunosuppressed patient; CPT 90743 for an adolescent 2-dose schedule; CPT 90744 for a pediatric/adolescent 3-dose schedule; CPT 90746 for an adult dosage; and CPT 90747 for a 4-dose schedule for a dialysis or immunosuppressed patient.
Report any of the above applicable vaccine codes with the administration code CPT 90465 or CPT 90466 (if the vaccine is administered in addition to anyother vaccine). For CPT 90746 please report CPT 90471 / 90472 as its administration code.
ICD: V05.3 or V20.2 (if the vaccines are reported along with Preventive examination)
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
Current coding for testing for drugs of abuse relies on a structure of “screening” (known as “presumptive” testing) followed by “confirmat...
Therapeutic activities are considered medically necessary for patients needing a broad range of rehabilitative techniques that involve ...
Myocardial perfusion imaging is being done to determine the significance or the extent of myocardial ischemia (or scar), or to assess my...
Humana utilizes the following code-editing logic: • CPT 78593 will not be separately reimbursed when submitted with CPT 78585. • CPT 11...
Urgent Care Centers are the Facilities that delivers Outpatient Medical Care usually for the conditions that does not require Hospital a...
Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
Medicare does not currently pay for the Tetanus vaccines as they consider it preventive and it doesn’t happen to be one of the preventive...
Evaluation Codes (CPT Codes 97001 and 97002 for physical therapy) and (CPT Codes 97003 and 97004 for occupational therapy)The initial evaluation identifies the problem or difficulty the patient is having which helps determine the appropriate therapy necessar...
Section 4163 of the Omnibus Budget Reconciliation Act of 1990 added §1834(c) of the Act to provide for Part B coverage of mammography sc...