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MIR-2006-8AB, August 2006
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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New Current Procedural Terminology (CPT) Code
Provider Types Affected
All Medicare providers
Provider Action Needed
Impact to You
Effective July 1, 2005, Medicare carriers and intermediaries must use the new Current Procedural Terminology (CPT) code 90714 (Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, for use in individuals seven years or older, for intramuscular use) for services previously billed under CPT code 90718.
What You Need to Know
Effective for services on or after July 1, 2005, if you do not use the new Current Procedural Terminology (CPT) code 90714 , reimbursements may be impacted. CR4222 provides notification of this new CPT code for tetanus and diphtheria toxoids (see table below).
What You Need to Do
Make sure that your billing staffs are aware of this new CPT code.
Background
Effective July 1, 2005, the following vaccine CPT code is being added to the CPT system.
| CPT code |
Short Descriptor |
Long Descriptor |
90714 |
Td vaccine no prsrv >/= 7 im |
Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, for use in individual seven years or older, for intramuscular use |
Note: Your carriers and fiscal intermediaries will assign the CPT code (90714) to status indicator “E” in the Medicare Physician Fee Schedule Database. Deductible and coinsurance apply.
Effective July 1, 2005:
- CPT code 90718 is used for the tetanus and diphtheria toxoids (Td) vaccine absorbed for use in an individual seven years or older, for intramuscular use; and
- CPT 90714 is used for the tetanus and diphtheria toxoids (Tg) vaccine absorbed, preservative free, for use in individuals seven years or older, for intramuscular use.
Additional Information
Medicare will not search its files to retract payment for claims already paid or to retroactively pay claims. However, carriers/intermediaries will adjust claims brought to their attention.
The official instruction issued to your carrier/intermediary is available at http://www.cms.hhs.gov/Transmittals/downloads/R910CP.pdf  on the CMS Web site.
If you have any questions, please contact your carrier/intermediary at their toll-free number, which may be found at http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNumDirectory.pdf on the CMS Web site.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.
MLN Matters Number: MM4222
Pub. 100-4, Transmittal# R910CP, CR# 4222
Related CR Release Date: April 21, 2006
Effective Date: July 1, 2005
Implementation Date: October 2, 2006
Do you have your NPI? National Provider Identifiers (NPIs) will be required on claims sent on or after May 23, 2007. Every health care provider needs to get an NPI. Learn more about the NPI and how to apply for an NPI by visiting http://www.cms.hhs.gov/NationalProvIdentStand/  on the CMS Web site.
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