Z28.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Z28.311 is a new 2022 ICD-10-CM code that became effective on October 1, 2021. This is the American ICD-10-CM version of Z28.311 - other international versions of ICD-10 Z28.311 may differ.
Z11.51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Z11.51 became effective on October 1, 2018. This is the American ICD-10-CM version of Z11.51 - other international versions of ICD-10 Z11.51 may differ.
Encounter for screening for human papillomavirus (HPV) Z11.51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z28.82 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 Z28.82 became effective on October 1, 2021. This is the American ICD-10-CM version of Z28.82 - other international versions of ICD-10 Z28.82 may differ. A type 1 excludes note is a pure excludes.
Z23 is the only code for vaccines and immunizations.
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.
Screening for malignant neoplasm of vagina (Z12. 72) Screening for HPV (V11. 51)
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.
00006-4119 GARDASIL 9 - CanMED: NDC.
51 must be reported along with one of the following secondary ICD-10-CM diagnosis codes: Z01. 411 or Z01. 419. It is incorrect to report these screening services with Current Procedural Terminology (CPT®) code 87624 [Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types].
For claims for screening for syphilis in pregnant women at increased risk for STIs use the following ICD-10-CM diagnosis codes: • Z11. 3 - Encounter for screening for infections with a predominantly sexual mode of transmission; • and any of: Z72.
ICD-10 code: Z12. 4 Special screening examination for neoplasm of cervix.
For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12. 39 (Encounter for other screening for malignant neoplasm of breast).
PneumococcalHCPCS / CPTDescription90670Pneumococcal conjugate vaccine, 13 valent, for intramuscular use90732Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, for use in individuals 2 years or older, for subcutaneous or intramuscular use;1 more row•Oct 13, 2021
Tetanus and Diphtheria Vaccinations Billing GuidelinesCPT CodeDescription90714Tetanus and diphtheria toxoids (Td) older than age 790715Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap)90471Immunization administration90472Immunization administrationAug 30, 2018
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.
CPT code 90651 (HPV Vaccine) has a new upper limit age restriction for adult usage of 45 years of age effective 08/16/2019. For adults age 27-45, providers can consider discussing HPV vaccination with members who are most likely to benefit.
(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.
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.
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.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
The 2022 edition of ICD-10-CM Z63.6 became effective on October 1, 2021.