90460 should only be used once. all other immunizations will be 90461.
I do understand that they want individual 90461's with each immunization.
My only advice is to call them and ask them to move to the 21st century. You can threaten to paper send them and it is more expensive on their end (especially if it is hand written paper which will take more to convert.)
In Illinois, Medicaid does not use a standard HCFA 1500 they use a special 1500 (which of course is different and is not compatable, they are available free, however.) It is their way of making billing more difficult. You would think they would try to make it easy on providers who are willing to work for minimum wage.
Most billing programs I have seen group codes.
Last edited by DoctorWAW; 06/16/2011 7:57 PM.
