The ICD-10-CM diagnosis code required for billing is Z23 - Encounter for immunization. Providers must bill with HCPCS code 90739 - Hepatitis B vaccine (HepB), adult dosage, two dose schedule, for intramuscular use.
Z23 is the ICD-10-CM code used when reporting an encounter for immunization for all vaccines given within the encounter.
The ICD-10-CM diagnosis code required for billing is: Z23 - Encounter for immunization.Providers must bill with HCPCS code: 90759 - Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use.One Medicaid and NC Health Choice unit of coverage is: 10 mcg.More items...•
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.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
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.
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.
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.
Limitations90476©Adenovirus vaccine, type 490698©90585©Bcg vaccine, precut90702©90586©Bcg vaccine, intravesical90704©90632©Hep a vaccine, adult im90705©90633©Hep a vacc, ped/adol, 2 dose90706©29 more rows
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 .
Z23 may be used as a primary diagnosis for immunizations in the OP and physician setting.
ICD-10-PCS will be the official system of assigning codes to procedures associated with hospital utilization in the United States. ICD-10-PCS codes will support data collection, payment and electronic health records. ICD-10-PCS is a medical classification coding system for procedural codes.