| Coding for BEXSERO | |
|---|---|
| ICD-10-CM Code2* | Z23 |
| MVX Code3 | SKB |
| CVX Code4 | 163 |
The CPT code for Bexsero is 90620. Trumenba®, manufactured by Pfizer, is described as meningococcal recombinant lipoprotein vaccine, serogroup B, 3-dose schedule, for intramuscular use.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
There are 2 types of meningococcal vaccines available in the United States: Meningococcal conjugate or MenACWY vaccines (Menactra®, Menveo®, and MenQuadfi®) Serogroup B meningococcal or MenB vaccines (Bexsero®and Trumenba®)
vaccines and the following new additional Program Procedure Codes, outlined in the table below, for meningococcal recombinant protein and outer membrane vesicle vaccine, Bexsero®, CPT Code 90620 (2-dose schedule) and meningococcal recombinant lipoprotein vaccine, Trumenba®, CPT Code 90621 (3-dose schedule).
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.
According to ICD-10-CM guidelines, clinicians may assign code Z28. 310, “Unvaccinated for COVID-19,” when the patient has not received a dose of any COVID-19 vaccine. Clinicians may assign code Z28.
BEXSERO is a vaccine approved for 10- through 25-year-olds to prevent meningococcal group B disease (also known as meningitis B) caused by Neisseria meningitidis bacteria. Approval of BEXSERO is based on immune response against three group B bacterial strains representative of prevalent strains in the US.
BEXSERO is a vaccine indicated for active immunization to prevent invasive disease caused by Neisseria meningitidis serogroup B. BEXSERO is approved for use in individuals aged 10 through 25 years.
Bexsero is a vaccine used to protect individuals from the age of two months against invasive meningococcal disease caused by one group of the bacterium Neisseria meningitidis (group B).
Is the cost of BEXSERO covered? The cost of BEXSERO may be covered by your private insurance.
90744 Hepatitis B vaccine, pediatric/adolescent dosage; 3 dose schedule, for intramuscular use.
POLICY Shingrix (90750) (zoster vaccine) does not require a prior authorization for ages 50 and above. Zostavax (90736) (zoster vaccine) does not require a prior authorization for ages 60 and above.
ICD-10 Code: Z23 Get payment allowances & effective dates for the 2021-2022 season. Learn about claims & roster billing.
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.
The code for getting the flu vaccination is Z23, which is the same for any immunization. In October 2017, an ICD-10-PCS code (3E01340) was added to capture the administration of the influenza vaccine.
If you administer an injection of the influenza vaccine only, report 90471. If you administer an influenza vaccine in addition to other vaccines, report the influenza injection with 90472. Note that code 90471 or 90473 cannot be reported in conjunction with 90460.