Reader Question:
Go Ahead With Multiple Codes for Pediatric Immunization Billing
Published on Fri Jun 10, 2011
Question: I bill for a pediatric office and have a question about performing and reporting vaccines. If we administer a vaccine for DTaP, we would report 90700, 90460x1, and 90461x2? And if we administer a Kinrix (DTaP-IPV) vaccination, do we report 90696, 90460x1, and 90461x3? Finally, if we administer Pentacel (DTaP-Hib- IPV), should we report 90698, 90460x1, and 90461x4?Kentucky SubscriberAnswer: Yes, you are billing correctly by linking the immunization administration code with each specific multiple component and combination vaccine by reporting your claim as follows:DTaP90700 -- Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use90460x1 -- Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component90461x2 ...each additional vaccine/toxoid componentKinrix90696 -- Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 through [...]