The ICD-10-CM coding for this virus begins with vaccine administration. The code for vaccine administration or immunization is Z23 (Encounter for immunization).Oct 15, 2018
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 following uses and restrictions for Human Papilloma Virus (HPV) vaccines CPT code 90649 (Gardasil®) and CPT code 90650 (Cervarix®) are effective for claims dates of service on/after Oct. 21, 2009.Jun 28, 2011
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.Jul 26, 2021
1 screening HPV services are to be billed with Healthcare Common Procedure Coding System (HCPCS) code G0476. These services require dual diagnosis codes. The primary International Statistical Classification of Diseases and Related Health Problems, 10th revision, (ICD-10) code Z11.
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.
What is the difference between GARDASIL®* and GARDASIL®9? GARDASIL®9 is a vaccine (injection/shot) that helps protect against some diseases caused by 9 types of Human Papillomavirus (HPV). GARDASIL®9 contains the same 4 HPV types (6, 11, 16, 18) as in GARDASIL®* with 5 additional HPV types (31, 33, 45, 52, 58).
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.
CPT® procedure code 90651, “Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (HPV), 3 dose schedule, for intramuscular use.” This vaccine is covered under the VFC and SCHIP programs.
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.
G0008. Administration of influenza virus vaccine.
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.Nov 5, 2019