Use 90472 in conjunction with 90460, 90471, or 90473. There can be only 1 first administration during a given visit. Effective for dates of service on or after October 1, 2020, encounter for immunization. Report 90461 in conjunction with 90460.
The following uses and restrictions for Human Papilloma Virus (HPV) vaccines CPT code 90649 (Gardasil®) and CPT code 90650 (Cervarix®) are effective for claims dates of service on/after Oct.
encounter for a vaccinationCode Z23 is used to indicate any encounter for a vaccination. The procedure codes are used to identify the type of the immunization given and how it was administered. All Z codes must be accompanied by a corresponding procedure code.
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.
CPT® Code 90651 in section: Human Papilloma virus (HPV) vaccine.
Combination vaccines are those vaccines that contain multiple vaccine components. You may report multiple units of code 90460 for each first vaccine/toxoid component administered. No modifier should be required when reporting multiple first components.
The ICD-10-CM coding for this virus begins with vaccine administration. The code for vaccine administration or immunization is Z23 (Encounter for immunization).
ICD-10 Code for High risk human papillomavirus (HPV) DNA test positive from female genital organs- R87. 81- Codify by AAPC.
If the immunization is related to exposure (eg, the administration of a Tdap vaccine as a part of wound care), the ICD-10 code describing the exposure should be used as the primary diagnosis code for the vaccine, and Z23 should be used as the secondary code.
Z23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z23 - Encounter for immunization. ICD-10-CM.
The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. This code can only be used for patients through age 18. Code 90471 is used when the drug is administrated by a medical assistant or nurse and the patient does not see the physician at all.
For immunization administration other than COVID-19, codes 90460–90474 are reported for the administration of the vaccine, along with the appropriate vaccine/toxoid code (90476–90756) targeting the organism.
ICD-10 code Z23 for Encounter for immunization is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
90734 Meningicoccal conjugate vaccine, serogoups A, C, Y and W-135 (tetravalent), for intramuscular use (Menactra). intramuscular use.
CPT® Code 90716 - Vaccines, Toxoids - Codify by AAPC.
(Gardasil®9) The administration fee for CPT code 90651(Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent [9vHPV], 2 or 3 dose schedule, for intramuscular use) is reimbursable when billed with modifier SL for males and non-pregnant females 9 through 18 years of age.
If 90471 does not represent a duplicate of the service described by HCPCS code, modifier 59 may be to the 90471 code. In addition a diagnosis code specific to the disease for which the prophylactic vaccine is being administered, it should be linked to 90471.
Code 90460 is reported once for the first component of each vaccine or toxoid administered by any route. The reporting of code 90460 includes counseling for the first vaccine component. Code 90461 is additionally reported for the counseling associated with each additional component of any combination vaccine or toxoid.
Though not reimbursed directly through the Medi - care Physician Fee Schedule, the administration of influenza, pneumococcal, and hepatitis B vac- cines (HCPCS codes G0008, G0009, and G0010) is reimbursed at the same rate as CPT code 90471 for the year that corresponds to the date of service of the claim.