• 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?
    Code Description
    90460

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

    90461

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

    90471

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

    90472

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

    90473

    Immunization administration (nasal or oral), first vaccine

    90474

    Immunization administration (nasal or oral), each additional vaccine

    G0008

    Administration of the influenza vaccine, Medicare insurance

    G0009

    Administration of the pneumococcal vaccine, Medicare insurance

    Posted on Sep 18, 2018 by FPM Editors


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