CPT code 90650 is an FDA-approved HPV vaccine for females only age 9-26. For recipients age 9-18, code 90650 is reimbursed through the VFC program. The three-dose schedule for either code for recipients over age 18 must begin and end before the recipient turns 27.
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.
Z23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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.
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.
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 .
Attention: Providers of Well Child Exams - Clarification of Appropriate Diagnosis CodesICD-10 Diagnosis CodeCode DescriptionZ00.129Encounter for routine child health examination without abnormal findingsZ00.00Encounter for general adult medical exam (pt > 18 years) without abnormal findings4 more rows•Jun 18, 2021
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.
Coverage for shingles vaccine Original Medicare doesn't pay for this immunization under Part A or Part B. That means, medical practice can't give it to Medicare patients and be reimbursed for it.
To report a single intramuscular vaccination, report 90471. To report three intramuscular injections, report 90471 for the initial intramuscular vaccination administration and 90472 x 2 for the additional intramuscular administrations.
Tetanus and Diphtheria Vaccinations Billing GuidelinesCPT CodeDescription90714Tetanus and diphtheria toxoids (Td) older than age 790715Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap)90471Immunization administration90472Immunization administrationAug 30, 2018