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  #1  
Old 10-20-2010, 12:32 PM
DebbiePottsEngland DebbiePottsEngland is offline
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Default New CPT codes 90460 and 90461

Does anyone have insight on these codes yet? I don't have my new CPT book and have already been asked about them by my Director. Any help would be appreciated.
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Old 10-20-2010, 01:22 PM
HBULLOCK HBULLOCK is offline
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Talking 90460-90461

90460 - immunization admin thru age 18 via any route with counseling first vaccine

90461 - immunization admin thru age 18 via any route with counseling each additional

These go into effect on 1/1/2011.
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Old 10-20-2010, 01:34 PM
DebbiePottsEngland DebbiePottsEngland is offline
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Default 90460-90461

There was mention of per additive in the communique that I have. example given was Tdap would be x 3. Can you verify or dispell that for me?
thanks for you hlep.
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Old 10-28-2010, 02:24 PM
csterling csterling is offline
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That is correct. The admins are applied to each component (antigen) of the vaccine. For example, the admin for an influenza vaccine would be 90460 even though different strains are involved. The admin for MMR would be 90460, 90461, 90461. I was advised to list the admins separately, not 90460, 90461 x 2 to avoid denials.
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Old 10-28-2010, 02:43 PM
DebbiePottsEngland DebbiePottsEngland is offline
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Default 90460-90461

Can you give me a place that this information is in writing? I do not have my new CPT book yet.
Thanks
Debbie
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Old 11-04-2010, 10:56 AM
Susan.Cabral@optum.com Susan.Cabral@optum.com is offline
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Hi, could someone please advise where this information is coming from? I cannot locate this anywhere and I too do not have my 2011 cpt book yet.
Thank you so much!
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Old 11-04-2010, 10:58 AM
DebbiePottsEngland DebbiePottsEngland is offline
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I finally received my CPT book and the codes in question are for counseling for each componet as will as adminstration as far as I can tell. They do not replace the 90471 or 90472 or the other administration codes. they are in addition to them.
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Old 11-04-2010, 11:24 AM
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per the AAP:
Immunization Administration Coding Changes
Starting next year, there will considerable changes to the reporting of immunization administration (IA). New CPT codes become effective on January 1, 2011 as follows:

90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component.

+90461 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine/toxoid component (list separately in addition to code for primary procedure)

The new codes are reported based on the number of vaccine components rather than the number of injections/administrations.
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Old 11-04-2010, 11:25 AM
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per the AAP:
Immunization Administration Coding Changes
Starting next year, there will considerable changes to the reporting of immunization administration (IA). New CPT codes become effective on January 1, 2011 as follows:

90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component.

+90461 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine/toxoid component (list separately in addition to code for primary procedure)

The new codes are reported based on the number of vaccine components rather than the number of injections/administrations.
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Old 11-17-2010, 12:19 PM
ksimpson ksimpson is online now
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Default Determining the number of components in each vaccine

Is there an easy way to determine the number of components in each vaccine ? Is there a guide somewhere ?
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