Question about 90460-90461 and 90471-90474 Used together

[jchabolla]

A patient is recieving 90715 (3 components) and 90733 (1 component), but the physician is marking 90471, 90472 (1 unit), 90460, and 90461 (2 units).

If one is counseled and the other is not, shouldn't this be specified?

I would assume that the 90715 would be getting the counseled 90460 and 90461 to cover all 3 components. And, the 90733 would get the 90471. But that would leave the 90472.

Is there a rule where the counseled codes can not be used on the same vaccine with non-counseled?

Please help.