Advanced Search

Pediatric Coding Alert

READER QUESTIONS:

Code Each Unit for Multiple +90472s

Published on Sun Feb 28, 2010

Question: We often administer multiple vaccines during a patient's visit, but I am not sure how to handle multiple instances of +90472. Should we bill the initial +90472 and then list additional vaccines with +90472 and a modifier? Or should we file +90472 and include the number of units we're linking to this administration fee,but not include a modifier?Georgia SubscriberAnswer: Report +90472 (Immunization administration [includes percutaneous, intradermal, subcutaneous, or intramuscular injection]; each additional vaccine [single or combination vaccine/toxoid] [List separately in addition to code for primary procedure]) once and note the number of times it applies for the total of units. For example, if you administer five vaccines, code +90472 x 5. You do not need to attach a modifier.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pediatric Coding Alert

View All