Code 90460 is reported for each separate administration of single component vaccines and/or first component of a combination vaccine.
Z23 is the ICD-10 code that identifies an encounter for immunization(s).
encounter for a vaccinationCode 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.
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.
The ICD-9-CM diagnosis codes pneumonia vaccine prophylaxis is V03. 82 Pneumococcal prophylaxis. In ICD-10 (scheduled for implementation Oct. 1, 2015), all immunization encounters will have Z23 Encounter for immunization as the primary diagnosis; procedure codes will identify the type(s) of immunizations given.
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 .
ICD-10-PCS Codes XW013W7: Introduction of COVID-19 vaccine booster into subcutaneous tissue, percutaneous approach, new technology group 7.
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.
Billing Guidelines: Zoster Vaccine Recombinant, Adjuvanted, Suspension for Intramuscular Injection (Shingrix) CPT code 90750.
For vaccines given the same day as a G-Code vaccine, use 90471. For example, if a patient receives a flu shot and tetanus shot, you would bill G0008 for the flu vaccine and 90471 for the tetanus vaccine; also add modifier 59 (distinct procedural service) to the G code.
When coding for immunizations, which of the following should be assigned? (When coding for immunizations, two codes should be assigned: one for the vaccine or immunization material as well as a code for the administration of the vaccine.)
90471 is an Immunization administration code. TB TEST IS NOT AN IMMUNIZATION. Furthermore 96372 is for Therapeutic/Diagnostic injection, Subcutaneous or Intramuscular.
Instead, the administration of the following drugs in their subcutaneous or intramuscular forms should be billed using CPT code 96372, (therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular).
The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. This code can only be used for patients through age 18. 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.
Report 90471 and 90473 are for the initial or first vaccine administered, depending on the route of administration. You may use only one initial administration code per patient encounter.
Vaccine Administration Code(s) Administration codes track which dose in the regimen is being administered. NDC 10/NDC11 The National Drug Code (NDC) uniquely identifies human drugs in the United States; it can be found on the vial containing the vaccine.