CHANGE REQUEST 2337-2025

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The document outlines updates to the Medicare Carriers Manual, specifically focusing on changes to the claims process and coding for physician specialties and non-physician practitioners. It details the deletion of outdated codes, the introduction of new specialty codes, and instructions for Medicare contractors regarding the migration of providers to these new codes. The effective date for these changes is April 1, 2003, and emphasizes the importance of accurate coding for improved utilization data and billing practices.

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What is procedure code 90654?

CPTa Code 90654 should be assigned on all claims for Fluzone Intradermal vaccine. Primary code (first vaccine or toxoid component) - Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional.

What is the age limit for 90620 CPT code?

90620 is to be given from age 16 and up, given in two doses for Bexsero (* there is also a 3 dose regimen product available out there-90621). 90734 is NOT the same thing, in ANY way to 90620.

What information should be on a change request form?

How do you fill out a change request form? Fill out a change request form by providing as much information as possible. If your organization uses a standard template, you may have to write down your name, the date of your request, a description of the proposed change, and your rationale for the change.

What is the age limit for 90460?

The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. This code can only be used for patients through age 18.

What age is CPT code 90656 for?

90655 Influenza virus vaccine, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use. 90656 Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use.

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