lwesley05
Guest
How do you code vaccines for Private Insurance?
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Wiki Coding Vaccines
- Thread starter lwesley05
- Start date
Are the vaccines a state provided vaccine (you do not purchase the vaccine)? If you do not purchase the vaccine you will bill the vaccine code with a $0.01 charge amount and the administration code.
Example:
90633 (Hep A) $ .01
90460 (admin.) $30.00
Hope this helps.
Example:
90633 (Hep A) $ .01
90460 (admin.) $30.00
Hope this helps.
mitchellde
True Blue
Use 90460 only if counseling on the vaccine is documented otherwise use 90471 for the first one and 90472 for each additional. In some states if you are administering a state supplied vaccine to a covered patient then you also enter a 0 charge for the administration. Be sure you know the rules in your state for state supplied vaccines. Otherwise you bill the vaccine with the dollar amount per your fee schedule and then appropriate admin fee.
jschubert
Guest
Where are you located? we do private and VFC vaccines. we mostly use 90460 and 90461, our charge is 30 x 1 unit. The CPT code for vaccine and 90460 and we add 90461 if the vaccine has more than one component.