When reporting administration of combination vaccines, code 90460 is reported for the first component and add-on code 90461 is reported for each additional component (no modifier -51 required).
When do you use CPT 90460?
The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. This code can only be used for patients through age 18.
What is procedure code 90461?
CPT® 90461, Under Immunization Administration for Vaccines/Toxoids. The Current Procedural Terminology (CPT®) code 90461 as maintained by American Medical Association, is a medical procedural code under the range – Immunization Administration for Vaccines/Toxoids.
What is CPT code for flu shot?
Payment Allowances and Effective Dates for the 2020-2021 Flu Season:
| Code | Labeler Name | Vaccine Name |
|---|---|---|
| 90688 | Sanofi Pasteur Seqirus | Fluzone Quadrivalent (2020/2021) Afluria Quadrivalent (2020/2021) |
| 90756 | Seqirus | Flucelvax Quadrivalent (2020/2021) |
Can 90460 and 90461 be billed together?
An add-on code (ie, 90461) can only be reported in conjunction with the primary code (in this case, 90460). How does CPT define a vaccine component? A component refers to all antigens in a vaccine that prevent disease(s) caused by one organism.
Can 90460 and 90473 be billed together?
o For administration and physician counseling (CPT 90460-90461) of multiple component vaccines, provided to children 18 years of age or younger, submit 90460 for the first component administered, and 90461 for each additional component included in the vaccine. o Report one initial administration code per day.
What ICD 10 CM code is reported when a flu vaccine is administered?
The code for getting the flu vaccination is Z23, which is the same for any immunization. In October 2017, an ICD-10-PCS code (3E01340) was added to capture the administration of the influenza vaccine.
