| CPT Code | ICD-10 |
|---|---|
| 90715 | S61011A |
| 90471 | S61011A |
Medical providers who “buy and bill” for the Tdap vaccine should use the Current Procedural Terminology (CPT) code 90715. For administration of the vaccine, providers should bill CPT code 90471 or 90472, as appropriate.
For the TDAP vaccine, report CPT code 90715 (pays approximately $31).
Tetanus vaccinations are eligible for Medicare Part B coverage when they are directly related to the treatment of an injury or direct exposure to a disease or condition....Avoid claim processing delays when billing tetanus vaccinations.CPT® CodeDescriptor90715Tetanus, diphtheria toxoids and acellular pertussis vaccine, older than 790471Immunization administration2 more rows•Apr 28, 2022
ICD-10 code A33 for Tetanus neonatorum is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
IIS: NDC Lookup CrosswalkSale NDC11Sale Proprietary NameUse GTIN00006-4133-41Tetanus and Diphtheria Toxoids Adsorbed00006-4171-00ProQuad0030006417101300006-4329-02VAXNEUVANCE00006-4329-03VAXNEUVANCE33 more rows
Medicare prescription drug coverage (Part D) usually covers all commercially available vaccines needed to prevent illness, including the Tdap shot.
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.
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. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
ICD-10-CM Code for Encounter for immunization Z23.
85.
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.
Administer all diphtheria, tetanus, and pertussis vaccines (DT, DTaP, Td, and Tdap) by the intramuscular route. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. The preferred injection site in older children and adults is the deltoid muscle in the upper arm.
A modifier -25 may be required for the office visit when a vaccine is administered. Modifier -25 indicates that the E/M code for the office visit represents a distinct and significant service that is separate from the vaccine administration.
In the absence of counseling, the administrations must be reported with codes 90471-90474. 90460-90461 are reported for administration to patients 18 years of age and under. Code 90460 is reported for each separate administration of single component vaccines and/or first component of a combination vaccine.
Of these, only two of the immunization administration codes, 90460 and 90461, include counseling by the physician or other qualified health care professional (QHP) at the time of service, specifically for patients up to and through 18 years of age.