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Tuesday Sep 18, 2018

Don't forget the immunization administration code

Payment for vaccine codes is intended to cover only the costs associated with the vaccine itself. To get paid for the costs associated with administering the vaccine, including staff time and supplies, be sure to report a code for the administration. To choose the correct administration code, consider the following questions and consult the table below:

  • Is the patient 18 years old or younger?
  • Did a qualified health professional provide specific counseling to the patient or parent/guardian on the date the vaccine was administered?
  • How many vaccines were given, and how many components were in each vaccine?
  • Is the patient a Medicare beneficiary?
CodeDescription
Code: 90460
Description:

Immunization administration through 18 years of age (any route) with counseling by physician or other qualified health care professional, first vaccine/toxoid component

Code: 90461
Description:

Immunization administration through 18 years of age (any route) with counseling by physician or other qualified health care professional, each additional vaccine/toxoid component

Code: 90471
Description:

Immunization administration (percutaneous, intradermal, subcutaneous, intramuscular), first vaccine

Code: 90472
Description:

Immunization administration (percutaneous, intradermal, subcutaneous, intramuscular), each additional vaccine

Code: 90473
Description:

Immunization administration (nasal or oral), first vaccine

Code: 90474
Description:

Immunization administration (nasal or oral), each additional vaccine

Code: G0008
Description:

Administration of the influenza vaccine, Medicare insurance

Code: G0009
Description:

Administration of the pneumococcal vaccine, Medicare insurance

Posted at 11:30AM Sep 18, 2018 by FPM Editors

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