Administration Codes Prior to 2011

For dates of service prior to January 1, 2011, physicians may report the administration of vaccines using codes 90465-90474. The vaccine product is separately reportable using codes 90476-90749.

Administration codes 90465-90468 are reported only when the physician provides face-to-face counseling to a patient/family during the administration of a vaccine to a patient younger than eight years of age. For administration of any vaccine that is not accompanied by face-to-face physician counseling to the patient/family or provided to a patient eight years of age or older, report codes 90471-90474.

When reporting multiple vaccine administrations on the same date, note that only one first order administration code should be reported. For instance, when reporting two vaccines administered by injection to a child under eight years of age with physician counseling, code 90465 is reported for the first vaccine administration and code 90466 is reported for the additional vaccine administration. Were the second vaccine administration by oral or intranasal route, code 90468 could be reported in addition to code 90465.