Inactivated poliovirus vaccine (IPV) administration, subcutaneous or intramuscular

Description

The inactivated poliovirus vaccine (IPV) is administered to prevent poliomyelitis. This vaccine can be given either subcutaneously or intramuscularly, ensuring effective immunization against the virus. It is crucial for maintaining public health and preventing outbreaks of polio.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT GYItem or service excluded from Medicare benefits(10.76%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(7.63%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(2.15%)

HCPCS/CPT Q1Routine clinical service in an approved clinical research study(1.37%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(0.78%)

HCPCS/CPT GXNotice of liability issued, voluntary under payer policy(0.78%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(0.59%)

HCPCS/CPT 25Significant, separately identifiable evaluation and management service on the same day(0.39%)

HCPCS/CPT JZZero drug amount discarded or not administered(0.39%)

HCPCS/CPT CCProcedure code change due to administrative or filing error(0.39%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)