Pediatric Coding Alert

Don't hesitate to check with your payer before submitting your immunization claims.Just a few months ago, you got the news that CPT would be deleting the old immunization administration codes 90465-90468 and debuting immunization administration by component "with counseling" codes 90460-90461. The new codes took effect on Jan. 1 and initially it looked like processes were working smoothly -- until it came time for claims submissions. Then the denials began to arrive, puzzling practices that submitted what they thought were clean claims.Local carriers may have hit a few speed bumps while processing the first of the vaccine administration claims, but are attempting to get their systems rolling smoothly as February closes out for codes 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) and +90461 (... each additional vaccine/toxoid component (List separately in addition [...]