Primary Care Coding Alert

Question: When I report a vaccine injection administration plus administration of Rotavirus or FluMist, I get adenial for the second administration due to an error of incorrect administration code. I'm using 90465 and 90467. What codes should I be using? Indiana Subscriber Answer: You should use initial administration code 90465 (Immunization administration younger than 8 years  of age [includes percutaneous, intradermal, subcutaneous, or intramuscular injections] when the physician counsels the patient/family; first injection [single or combination vaccine/toxoid], per day) for the injectable and subsequent administration code +90468 (Immunization administration younger than age 8 years [includes intranasal or oral routes of administration] when the physician counsels the patient/family; each additional administration [single or combination vaccine/toxoid], per day [List separately in addition to code for primary procedure]) for the oral or inhalant. This combination represents initial administration of an injectable and subsequent administration of an inhaled product such as FluMist, V04.81 (Need [...]