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Pediatric Coding Alert

Reader Questions:

It's Okay to Bill Several Immunization Administration Codes Together

Published on Tue Apr 12, 2011

Question: After reading your informative articles on the vaccine coding for 2011, I have a follow-up question about performing and reporting vaccines. If we administer a vaccine for DTaP, we would report 90700, 90460x1, and  90461x2? And if we administer a Kinrix (DTaP-IPV) vaccination, do we report 90696, 90460x1, and 90461x3? Finally, if we administer Pentacel (DTaP-Hib-IPV), should we report 90698, 90460x1, and 90461x4? Kentucky Subscriber Answer: Yes, you are billing correctly by linking the immunization administration code with each specific multiple component and combination vaccine by reporting your claim as follows: DTaP 90700 -- Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use 90460x1 -- 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 90461x2 -- ...each additional vaccine/toxoid component Kinrix 90696 -- Diphtheria, tetanus toxoids, acellular [...]
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