Wiki Vaccine Administration-Multiple

[asrabian]

I am extremely new to vaccine administration coding. When multiple vaccines are given, do you bill out the 90460, and then each additional vaccine is billed at 90461?

Thank you
Andi

 

[lburke31]

no. if counseling is done by m.d., then each vaccine gets a 90460. 90461 is used if there is more than one component. example: MMR 90707 would get one 90460 and a 90461 with 2 units. this only applies to pts under 19 years.
if multiple vaccines are given you also have the option of grouping admin codes together. some payors require this. example: mmr + inj. polio + hepA = 90460 with 3 units + (1) 90461 with 2 units. if this is only clear as mud, please feel free to ask additional ?'s. aap has a great laminated chart for pediatric immunization coding. it includes codes, dx , #of components and a little cheat section that breaks down the codes. hope this helps. ljb