Wiki Immunization for Gardasil, FLU, TDAP & Hep

[Lillian7]

My understanding is that we use Z23 as a 2ry diagnosis but what do we use as the 1ry for the above? Before we would use V06.1, V04.89. V05.3.
The books state we must use a "procedure" code. I usually reference that as a CPT code not ICD code. Any clarification or assistance would be appreciated.

 

[klbass]

I've been asking the same question .....

 

[CodingKing]

Ignore where it says procedure code. They are just trying to let you know you no longer have to use a DX code based on each vaccine type.

Z23 is all you need to report, Well unless of course you did the preventative exam as well when follow the code first for the well visit dx code

Theres some good information in here:

http://www.aafp.org/fpm/2014/0700/oa1.html

ICD-10 recognizes that the type of vaccine you report with a CPT or HCPCS code gives sufficient detail about the type of immunization the patient needed. So rather than having you provide individual diagnosis codes for each vaccine, ICD-10 allows you to report code Z23 for an encounter involving immunization regardless of the type or number of vaccines. This is especially advantageous when reporting multiple childhood immunizations. Even influenza immunization coding is simplified. Under ICD-9, you have to report V04.81 for the influenza vaccine alone or V06.6 if you provide both the influenza vaccine and the pneumonia vaccine on the same date. Under ICD-10, you simply report code Z23 regardless of how many or what types of vaccines are administered.

The Z23 code includes the following note: “Code first any routine childhood examination.” Therefore, when you provide immunizations in conjunction with a well-child visit, a code for routine child health examination should be reported first, followed by Z23 for any immunizations. This is similar to ICD-9 rules.