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 ICD-10-CM coding for this virus begins with vaccine administration. The code for vaccine administration or immunization is Z23 (Encounter for immunization).
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.
Use 90472 in conjunction with 90460, 90471, or 90473. There can be only 1 first administration during a given visit. Effective for dates of service on or after October 1, 2020, encounter for immunization. Report 90461 in conjunction with 90460.
Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.
Z23 may be used as a primary diagnosis for immunizations in the OP and physician setting.
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.
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.
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 .
CPT CODES 90649 HPV vaccine, types 6, 11, 16, 18 (quadrivalent), 3-dose schedule, for intramuscular use. HPV vaccine, types 16, 18, bivalent, 3 dose schedule, for intramuscular use.
The HPV vaccine is highly effective in preventing the targeted HPV types, as well as the most common health problems caused by them. The vaccine is less effective in preventing HPV-related disease in young women who have already been exposed to one or more HPV types.
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. This code would also be used for any patient 19 years of age or older regardless if physician is present and does face-to-face counseling.