CPT Code | ICD-10 |
---|---|
90715 | S61011A |
90471 | S61011A |
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
90700 diphtheria, tetanus toxoids, acellular pertussis vaccine (DtaP), when administered to individuals younger than 7 years, for intramuscular use.
90472 – Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid). Example: RIV4 and Tdap are administered to an adult patient.
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.
IIS: NDC Lookup CrosswalkSale NDC11Sale Proprietary NameMVX Code00006-4133-41Tetanus and Diphtheria Toxoids AdsorbedMSD00006-4171-00ProQuadMSD00006-4329-02VAXNEUVANCEMSD00006-4329-03VAXNEUVANCEMSD33 more rows
90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use.
Z23 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 Z23 became effective on October 1, 2021.
Group 1CodeDescription90714TETANUS AND DIPHTHERIA TOXOIDS ADSORBED (TD), PRESERVATIVE FREE, WHEN ADMINISTERED TO INDIVIDUALS 7 YEARS OR OLDER, FOR INTRAMUSCULAR USEJ1670INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS1 more row
CPT®a Code 90698 should be assigned on all claims for Pentacel vaccine.
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.
The Z23 code includes the following note: “Code first any routine childhood examination.” Therefore, when you provide immunizations in conjunction with a well-child visit, a code for routine child health examination should be reported first, followed by Z23 for any immunizations.
Z23 is a billable diagnosis code used to specify a medical diagnosis of encounter for immunization.