The AMA issued a corrections document on 12/21/11 stating that 90460 can be reported more than once per date of service, as appropriate. So, you can bill 90460 for each vaccine and 90461 for each additional component of that vaccine if there are more than one. Unfortunately, I don't have the link to the document. I'm sorry.
Can cpt 90460 be reported more then once per day of service? Our office has been billing this cpt more then once per visit. For example if pt needed to be inoculated against Tdap and MMR we billed cpt 90460 for each vaccine and four units of 90461. I am uncertain if this has changed with the new 2012 cpt codes. Thank you.