how to use icd 10 to code for vaccines

by Dr. Amber Hickle PhD 5 min read

ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.

What is the emergency use authorization for a vaccine?

Put simply, an emergency use authorization (EUA) is a tool the Food and Drug Administration (FDA) can use to expedite the availability of medical products, including drugs and vaccines, during a public health emergency.

What can I use as proof of COVID-19 vaccine?

You can use your CDC COVID-19 Vaccination card or a copy of your vaccination record (digital or paper) as proof of vaccination in the United States.

Who is considered fully vaccinated for COVID-19 in the US?

You are considered fully vaccinated on the 14th day after the vaccination series was completed. For example, if your last dose was any time on October 1st, then October 15th would be the first day that you meet the 14-day requirement.

What is the difference between efficacy and effectiveness of a vaccine?

Efficacy is the degree to which a vaccine prevents disease, and possibly also transmission, under ideal and controlled circumstances – comparing a vaccinated group with a placebo group. Effectiveness meanwhile refers to how well it performs in the real world.

How can I get a QR code or digital copy of my COVID-19 vaccination card?

Getting a QR Code or Digital Copy of Your COVID-19 Vaccination Card. Some vaccination providers and health departments may offer you access to a QR code or digital copy of your COVID-19 vaccination card in addition to giving you a physical CDC COVID-19 Vaccination card.

What is a COVID-19 vaccination record card?

At your first vaccination appointment, you should get a CDC COVID-19 Vaccination Record card that tells you what COVID-19 vaccine you received, the date you received it, and where you received it. Keep your CDC COVID-19 Vaccination Record card for future use.

Is there an emergency use authorization of Paxlovid for COVID-19 in the US?

The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for the emergency use of the unapproved product PAXLOVID for the treatment of mild-to-moderate coronavirus disease 2019 (COVID-19) in adults and pediatric patients (12 years of age and older weighing at least 40 kg)

How do I know if I’ve been fully vaccinated if I was vaccinated in another country?

If you have received all recommended doses of a COVID-19 vaccine that has been authorized or approved by the U.S. Food and Drug Administration (FDA) or is listed for emergency use by the World Health Organization (WHO), then you are considered to be fully vaccinated.

Can you still get COVID-19 if you're fully vaccinated?

You can get COVID-19 even if you're fully vaccinated Yes, this is true. That's because none of the vaccines will prevent 100% of COVID-19 cases. When a fully vaccinated person tests positive for COVID-19, it's called a breakthrough infection. But getting vaccinated is still worth it.

What does efficacy mean for the COVID-19 vaccine?

Efficacy refers to how well a vaccine performs under ideal conditions as reflected in a careful clinical trial.

How long does it take for Pfizers COVID-19 booster shot to work?

Studies have shown high effectiveness in one or two weeks after receiving a booster, according to the British Heart Foundation. According to Pfizer, through a trial, its booster was found to be extremely effective at preventing illness from seven days onward.

What is the effectiveness of the Pfizer COVID-19 vaccine?

A few months later, in February, 2021, the Pfizer-BioNTech vaccine was shown to provide strong protection to recipients in the real world, too; it was 94% effective against symptomatic disease (after two doses of the vaccine) in a study conducted in Israel—and published in The New England Journal of Medicine.

What if I don't get the second COVID-19 vaccine shot?

The bottom line is that if you didn't get your second shot on time, you'll want to get it as soon as possible. If you didn't get your second shot because you developed COVID-19 at some point during the vaccination process, it's still recommended that you get your second dose.

Are COVID-19 vaccines documentation private or confidential?

Yes. Documentation or other information regarding an individual's vaccination status is confidential medical information under the Americans with Disabilities Act (ADA) and some state privacy laws.

Do I need to get a proof of being "fully vaccinated" against COVID-19 before I travel by air to the US from a foreign country?

If you are a non-U.S. citizen who is a nonimmigrant (not a U.S. citizen, U.S. national, lawful permanent resident, or traveling to the United States on an immigrant visa), you will need to show proof of being fully vaccinated against COVID-19 before you travel by air to the United States from a foreign country.

Can COVID-19 spread through sexual intercourse?

Although COVID-19 has been detected in semen and feces, currently we do not think that the virus is spread through the sexual act. But, given that the virus is spread through respiratory droplets—which are much more likely to be shared when in close contact with another person—many sexual acts will be considered high risk. So, as the New York City Department of Health details in its safer sex and COVID-19 fact sheet, minimizing risks by exploring other avenues of meaningful interaction is suggested and recommended.

Reporting Administration Per Component

  • The pediatric immunization administration with counseling codes are: 1. 90460: Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered 2. +90461: Each additional vaccine/toxoid compone...
See more on aafp.org

Items of Note About Codes 90460 and 90461

  • To correctly report vaccine counseling and administration with these codes, it is important to recognize what the codes do and do not include. 1. These codes are limited to immunization administration, meaning purchased vaccine products must be separately reported. 2. A face-to-face service where a physician or other qualified health care professional (qualified per state lic…
See more on aafp.org

Administration Coding Example

  • An 11-year old girl presents for a preventive visit (99393). In addition, the child and her mother are counseled by the physician on risks and benefits of HPV (90649), Tdap (90715) and seasonal influenza (90660) vaccines. The physician documents the discussion. The mother signs consent to administration of these vaccines. A nurse prepares and administers each vaccine, completes …
See more on aafp.org