How should our office track vaccine wastage?

Every practice should be tracking vaccine wastage expenses. Examples of wastage include the following:

The Vaccines for Children (VFC) Program requires written procedures for documentation and reporting of expired and wasted vaccine doses. Although this is a federal program, each state may have its own specific requirements for documentation and reporting. Compliance with these guidelines is required for participation.

One way to internally track wasted vaccines is to post the code for the vaccine that has to be discarded into your claims processing system with Healthcare Common Procedure Coding System modifier JW (drug amount discarded, not administered to any patient) appended. For example, a dose of the measles, mumps, and rubella (MMR) virus vaccine is wasted because the patient moved. A second dose of MMR is administered. Code 90707 (MMR) and 90471 or 90465 (immunization administration) would be reported. In addition, code 90707-JW...

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