Looking for help on how to bill Noridian Medicare for denial of Japanese Encephalitis Vaccine 90738 so I may then bill the secondary insurance. Currently, it is denying with as invalid, unprocessable (CO16, N704) and is listed as "status I-not valid for Medicare".

Thanks in advance!

Jacquelyn Valdivia, CPC
Coder II
Patient Financial Services
(858) 499-4364
(858) 499-4300 fax

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  • edited June 2017
    I believe 90738 is non covered for Medicare, so you would need either GY or GZ modifier, which ever pertains to your situation- to rebill it, then you should be able to send it on to the secondary insurance, once Noridian responds.

    Jill McPheron, CPC, CPMA
    Duke PDC Compliance

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