Tetanus and Diphtheria Vaccinations Billing GuidelinesCPT CodeICD-1090715S61011A90471S61011AAug 30, 2018
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
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.
Z23 is the ICD-10 code that identifies an encounter for immunization(s).
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.
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.
7 Emergency use of U07. 7 [COVID-19 vaccines causing adverse effects in therapeutic use], and is not a directive that T88. 1 is to be assigned as principal diagnosis in all scenarios where an adverse effect of a COVID-19 vaccination is documented.
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.
The ICD-10-PCS code request application can be accessed at: https://mearis.cms.gov. Effective March 1, 2022, the full release of MEARIS™ became active for ICD-10-PCS code request submissions. Moving forward, CMS will only accept ICD-10-PCS code request applications submitted via MEARIS™.
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.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Z23 may be used as a primary diagnosis for immunizations in the OP and physician setting.