Pediatric Coding Alert
Discover Which ICD-9 Code(s) Pediarix Requires
Question: When a nurse administers the Pediarix vaccine, should I use diagnoses codes V06.1, V04.0 and V05.3?
West Virginia Subscriber
Answer: No, you should report V06.8 (Need for prophylactic vaccination and inoculation against combinations of diseases; other combinations).
Pediarix combines the immunizations for diphtheria, tetanus and acellular pertussis (DTaP), Hepatitis B and inactivated polio (IPV) (90723, Diphtheria, tetanus toxoids, acellular pertussis vaccine, Hepatitis B, and poliovirus vaccine, inactivated [DtaP-HepB-IPV], for intramuscular use), which previously required three separate shots. Because no combination vaccination code (V06.x series) describes DtaP-HepB-IPV, you should instead report other-specified ICD9 Codes V06.8.
The closest combination code V06.1 (... diphtheria-tetanus-pertussis, combined [DTP] [DTaP]) doesn't include Hepatitis B (V05.3, Need for other prophylactic vaccination and inoculation against single diseases; viral hepatitis) and IPV (V04.0, Need for prophylactic vaccination and inoculation against certain viral diseases; poliomyelitis)
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