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H1N1 Billing for BCBS TX, IL, NM, OK

BCBS TX, IL, NM, OK are all owned and operated by one entity, Health Care
Service Corporation. That doesn't mean that they are going to ensure one
billing policy for H1N1 for all. Please see below for specific billing
guidelines for these four companies:

BCBS of Illinois states to use the following codes for administration of the
H1N1 vaccine:
. G9142 - Influenza A - H1N1 vaccine, any route of administration
. G9141 - Influenza A - H1N1 immunization administration (includes
the physician counseling for patient and family

See http://www.bcbsil.com/provider/h1n1_information.htm

BCBS of Texas state to use the following codes for the H1N1 vaccine:
* 90663 - Influenza virus vaccine, pandemic formulation, H1N1
* 90470 - H1N1 immunization administration (intramuscular,
intranasal), including counseling when performed

See http://www.bcbstx.com/provider/h1n1_provider_info.htm

BCBS of New Mexico states to use the following codes for the H1N1
administration and vaccine:
. 90470 - H1N1 immunization administration (intramuscular,
intranasal), including counseling when performed
. G9141 - Influenza A (H1N1) immunization administration (includes
the physician counseling the patient/family)
. 90663 - Influenza virus vaccine, pandemic formulation, H1N1
. G9142 - Influenza A (H1N1) vaccine, any route of administration

See http://www.bcbsnm.com/pdf/news_h1n1.pdf

BCBS of Oklahoma states to use the following codes for the H1N1 vaccine:
. G9142 - Influenza A (H1N1) vaccine, any route of administration
. G9141 - Influenza A (H1N1) immunization administration (includes
the physician counseling the patient/family)
Since the vaccine is being supplied by the federal government at no charge,
BCBSOK will allow $.01 for CPT code G9142 effective 9/15/2009. A claim for
the vaccine (G9142) is required in order to process the claim for
administration (G9141).

See http://www.bcbsok.com/providers_PDF/h1n1_provider_info.pdf

Susanne Madden, President & CEO
The Verden Group
99 Main St., #303
Nyack, NY 10960
Tel: 877-TVG-7770 ext 7
Direct line: 845-353-1325
Fax: 845-230-6635
Website: www.theverdengroup.com

H1N1 Billing for BCBS TX, IL, NM, OK

> BCBS TX, IL, NM, OK are all owned and operated by one entity, Health Care
> Service Corporation. That doesn't mean that they are going to ensure one
> billing policy for H1N1 for all.

...I also love that not one of them can have the same WWW hierarchy from
state to state, either. Each set of instructions is in a different place!

--
Chip Hart
Pediatric Solutions
chip @ pcc.com
http://pedsource.com/chipsblog