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.
The CPT codes for the pneumococcal vaccine are 90669 and 90732.
The CPT code for PNEUMOVAX 23 is 90732.
481 - Pneumococcal pneumonia [Streptococcus pneumoniae pneumonia] | ICD-10-CM.
The Centers for Medicare & Medicaid Services suggests submitting separate claims for this vaccine using CPT code 90677, “Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use.” Don't forget to also report the appropriate CPT code for administration of the vaccine.
Pneumococcal 20-Valent Conjugate Vaccine, Suspension for Intramuscular Injection (Prevnar 20™) HCPCS Code 90677: Billing Guidelines.
Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine. G0009 administration of pneumococcal vaccine.
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.
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.
Pneumonia is a lung disease. Pneumococcal pneumonia, a kind of pneumonia, can infect the upper respiratory tract and can spread to the blood, lungs, middle ear, or nervous system. Pneumococcal pneumonia mainly causes illness in children younger than 5 years old and adults 65 years of age or older.
ICD-10 code J00 for Acute nasopharyngitis [common cold] is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
Lobar pneumonia, unspecified organism J18. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J18. 1 became effective on October 1, 2021.