I need a little confirmation on billing out immunizations. We are a pediatric clinic with high volume of vaccines when it comes to the administrations it can be a very confusing.
If we have a patient that comes in for a office visit and immunizations we do the E/M level and and counsel the patient on vaccines we use 90460 for the first component for each admin and 90461 for every component after. The only question I have is if we do an oral vaccine with this is the oral vaccine included in the administration for the 90460 and 90461 or do we do a separate 90473 or 90474. Can someone please clarify this for me.
Also if it is a vaccine without counseling or office visit we use 90471 and 90472 but for the oral do we use 90473 or 90474.
Thanks for your help in advance.
If we have a patient that comes in for a office visit and immunizations we do the E/M level and and counsel the patient on vaccines we use 90460 for the first component for each admin and 90461 for every component after. The only question I have is if we do an oral vaccine with this is the oral vaccine included in the administration for the 90460 and 90461 or do we do a separate 90473 or 90474. Can someone please clarify this for me.
Also if it is a vaccine without counseling or office visit we use 90471 and 90472 but for the oral do we use 90473 or 90474.
Thanks for your help in advance.