Wendell, I guess that is true, but the biller would still have to add the admin codes anyway. We have to add each admin code after each vaccine. The only way to do this is to manually edit the ledger/claim in our billing program. Maybe we bought the wrong billing software, but in TotalMD I cannot just add a 90460 and move it to the right line. I would have to delete the all the vaccine codes and add them and the admin codes back in the right order.
We could have her select the vaccines for private insurance since they don't have this silly vaccine sequencing requirement. This Texas Medicaid requirement is the root of 90% of our billing problems!
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