Tetanus and Diphtheria Vaccinations Billing GuidelinesCPT CodeICD-1090715S61011A90471S61011AAug 30, 2018
ICD-10-CM Code for Encounter for immunization Z23.
For the TDAP vaccine, report CPT code 90715 (pays approximately $31).
Code 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.
Coding: Bill with 90471 only (If another vaccine is given at the same visit, code the administration fee for the second injection with 90472.) When billing for multiple vaccine administrations, you can either report administration add-on codes per line or report as multiple units on one line.
Providers may bill CPT 99401 with ICD-10 code Z71. 89 for no member cost-share. Providers are encouraged to counsel all members who have not yet received their COVID-19 vaccination. This service can be provided by MD/DO, NP, PA, and/or CNM.
The pediatric immunization administration with counseling codes are: 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.
IIS: NDC Lookup CrosswalkSale NDC11Sale Proprietary NameUse GTIN00006-4133-41Tetanus and Diphtheria Toxoids Adsorbed00006-4171-00ProQuad0030006417101300006-4329-02VAXNEUVANCE00006-4329-03VAXNEUVANCE33 more rows
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.
Tdap (Tetanus, Diphtheria, and Pertussis) and Td (Tetanus and Diphtheria) Vaccine. Tdap vaccine protects against tetanus, diphtheria, and whooping cough (pertussis). Td vaccine protects against tetanus and diphtheria.