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Questions for Dr. Stern

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127. What code should I use for the tetanus/diptheria toxoid when billing Medicare? Medicare won't pay for 90718 or 90715. They told me I have to use a J code. The only J code I see for it is J1670 but that is not correct. NDC # is 17478-131-01. I have tried calling manufacturers & distributors, but no luck. Please help! Thanks.

I am not sure what is happening to you here, but I don’t think that the rep at Medicare is correct.
If you send me a denied visit with the billed codes with modifiers and the message that you are getting from Medicare, maybe I can help you sort this out.


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