CPT^® 90461, Under Immunization Administration for Vaccines/Toxoids

The Current Procedural Terminology (CPT^®) code 90461 as maintained by American Medical Association, is a medical procedural code under the range - Immunization Administration for Vaccines/Toxoids.

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Summary

In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the administration of the first vaccine.

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View matching HCPCS Level II codes and their definitions.

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Have a question about CPT Code 90461 ? Start a discussion here

Vaccine Administration Question

What would you do if your employer makes you code 90460 and 90461 for every patient for every immunization? The template for our will visits says that counseling is done every time, but I know it is n... [ Read More ]

Vaccine Administration Question

[QUOTE="rthomas@impcna.com, post: 514492, member: 431816"] If you use 90460 & 90461 the provider must provide counseling for the vaccine(s) and it needs to be documented that it was done. 90460 & 904... [ Read More ]

Vaccine Administration Question

[QUOTE="Schellie, post: 514491, member: 697993"] The company I work for have been using 90471, 90472 and 90473 or 90474 for vaccine administration is this correct? Or should we be using 90460 and 904... [ Read More ]

Vaccine Administration Question

The company I work for have been using 90471, 90472 and 90473 or 90474 for vaccine administration is this correct? Or should we be using 90460 and 90461? Our EMR is throwing out this error all of th... [ Read More ]

Cigna denials for code 90461

has anyone else had issues getting the denial for code 90461 resolved with Cigna. When i call, I seem to get the run around. Just wondering if i am missing something... [ Read More ]

Preventive visit with vaccination

You would use the 25 modifier in this instance if the vaccinations were done during the same encounter as the visit itself. This is very common in Peds and IM. If you don't use the 25 modifier then yo... [ Read More ]

RVU for Covid-19 Vaccine Admin covid administration rvu

Hi All! Has anyone heard anything about RVUs being associated with the Covid-19 vaccine administrations? There are currently no RVUs listed for these codes, but there are RVUs attached to other vacci... [ Read More ]

CPT Practice Question

So I have a similar question. Medicaid you can’t bill the antigens so if I gave 3 shots for under the age of 18 , could I use the one code 90460 *3 or does it also have to have addition 90461 ?... [ Read More ]

Vaccine administration coding & billing

[QUOTE="nickel, post: 501158, member: 38327"] I have a question on administration codes for Tdap in the adults. I know with pediatric patients you can bill 3 administration codes for giving a tdap, b... [ Read More ]

UHC CLAIMS DENIAL FOR CPT 90460 & 90461

I've been getting claim denials from United Healthcare for CPT 90460 as an add-on code, which isn't an add-on code. I've called UHC and asked to reprocess these claims and I keep on getting this reje... [ Read More ]

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