using multiple vaccine codes

We are getting denials from medicare for the "administration codes" for patients coming in getting Flu/Pneumonia/Zostavax inj's, or other "third" shot. We are using the G0008-flu,,G0009-pneumonia, than we use 90472 for the third shot. We had been told before from medicare to use the 90472 since the G0008 or G0009 were considered the "first injection codes" and 90472 was for shots after the "first" shot. Now we are not sure how to bill the administration of Flu/Pneumonia shots with another shot.

re: using multiple vaccine codes

I use G0008, G0009, and 90471-modifier 59.

This has always paid for me. Make sure the services match the dx's.

re: using multiple vaccine codes

Ck the the CPT® (R), I'm out of my office & don't have access to one. I know we have been getting pd using 2 admin codes.