icd 10 and cpt code for mmr vaccine

by Mrs. Gia Ledner 5 min read

What is the CPT code for MMR vaccine?

90707 Measles, mumps, and rubella vaccine (MMR), live, for subcutaneous use.

What is ICD-10 code MMR?

Measles without complication B05. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM B05. 9 became effective on October 1, 2021.

How do I bill for MMR vaccine?

If you administer a Rotavirus vaccine to a patient and provide counseling, you should bill 90680 for the immunization, followed by 90460 for the administration. If you administer an MMR, you should bill 90707, 90460, and two units of 90461.

What is the ICD-10 code for vaccine administration?

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

What is the ICD-10 code for vaccination status?

ICD-10-CM Description Clinicians may assign code Z28. 311, “Partially vaccinated for COVID-19,” when the patient has received at least one dose of a multi-dose COVID-19 vaccine regimen, but has not received the doses necessary to meet the CDC definition of “fully vaccinated” at the time of the encounter.

What is ICD-10 Z23?

Inoculations and Vaccinations ICD-10-CM Coding Code Z23, which is used to identify encounters for inoculations and vaccinations, indicates that a patient is being seen to receive a prophylactic inoculation against a disease.

What is the CPT code 90686?

90686=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5-mL dosage, for intramuscular use.

What is the difference between CPT code 90460 and 90471?

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.

What is the difference between 90460 and 90461?

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.

What is the code for Johnson and Johnson vaccine?

It is important to highlight that the CMS COVID-19 Vaccine website instruct providers not to bill for the vaccine product itself, CPT 91303, if the provider receives the vaccine at no cost. In these instances, providers would report the appropriate administration code only, CPT 0031A.

What is CPT code 0054A?

CPT codes 0004A, 0054A, and 0064A are used to report the administration of a booster dose of the Pfizer and Moderna vaccine products. These codes represent the administration of a vaccine product when the initial immune response to a primary vaccine series was sufficient but has likely waned over time.

When do you use CPT 90472?

Code 90472, “Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), each additional vaccine (single or combination vaccine/toxoid),” may be used in conjunction with code 90460 only when a physician provides counseling for one immunization and does not provide ...

What does CPT code 90472 mean?

Immunization administration for90472: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, each additional vaccine. 90474: Immunization administration for intra-nasal or oral route, each additional vaccine.

What is procedure code 90633?

90633 Hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule for intramuscular use.

What is procedure code 90714?


What is the CPT code 90716?

CPT® Code 90716 - Vaccines, Toxoids - Codify by AAPC.

Reporting Administration Per Component

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 professio...
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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 …
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