Meningococcal conjugate vaccine (MenACWY-D or MenACWY-CRM) administration

Description

This code describes the administration of a meningococcal conjugate vaccine, specifically MenACWY-D or MenACWY-CRM. This vaccine is crucial for protecting against serious infections such as meningitis and septicemia caused by four strains of meningococcal bacteria.

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(10.61%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(3.86%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(2.89%)

HCPCS/CPT JZZero drug amount discarded or not administered(1.93%)

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(1.79%)

HCPCS/CPT 95Telehealth service via real-time interactive audio and video telecommunications(1.24%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(0.55%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(0.41%)

HCPCS/CPT SLState-supplied vaccine modifier(0.41%)

HCPCS/CPT CCProcedure code change due to administrative or filing error(0.28%)

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)