ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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.
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. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Preventive medicine, individual counseling CPT codes 99401–99404 are designated to report services provided to individuals at a face-to-face encounter for the purpose of promoting health and preventing illness or injury.
Do not report 90473 in conjunction with 90471. *90472 will only be used if another vaccine is given in addition to the flu vaccine....Vaccine CPT Code to ReportCPT Code Description90688Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use5 more rows•Aug 31, 2021
Coding & Reimbursement 90662=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use.
Z23 is the ICD-10-CM code used when reporting an encounter for immunization for all vaccines given within the encounter.
Attention: Providers of Well Child Exams - Clarification of Appropriate Diagnosis CodesICD-10 Diagnosis CodeCode DescriptionZ00.121Encounter for routine child health examination with abnormal findingsZ00.129Encounter for routine child health examination without abnormal findings4 more rows•Jun 18, 2021
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.
ICD-10-CM Codes that Support Medical Necessity Tetanus, Diphtheria and Pertussis vaccines (CPT codes 90702, 90714, and 90715) Diagnosis codes must be coded to the highest level of specificity.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.
Here, you cannot use the Z03. 89 as primary diagnoses. The observation codes are not used if an injury or illness, or any signs or symptoms related to the suspected condition, are present.
Encounter for screening for other diseases and disorders Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.