CPT^® 90471, Under Immunization Administration for Vaccines/Toxoids

The Current Procedural Terminology (CPT^®) code 90471 as maintained by American Medical Association, is a medical procedural code under the range - Immunization Administration for Vaccines/Toxoids.

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Summary

In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.

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90471/90472 Is administration SITE documentation required??

Is the administration site (i.e. Left deltoid, etc.) documentation [B][COLOR=rgb(226, 80, 65)]required [/COLOR][/B]in order to bill the administration of a vaccine? Please let me know where I can find... [ Read More ]

Post-Exposure Rabies rabies rabies series

If a patient has an open bite from a raccoon on their left index finger and comes to a county health dept clinic or ER/UCC first and then are referred to the health dept for post-ex to rabies vaccines... [ Read More ]

Vaccine Administration Question

What would you do if your employer makes you code 90460 and 90461 for every patient for every immunization? The template for our will visits says that counseling is done every time, but I know it is n... [ Read More ]

Vaccine Administration Question

[QUOTE="Schellie, post: 514491, member: 697993"] The company I work for have been using 90471, 90472 and 90473 or 90474 for vaccine administration is this correct? Or should we be using 90460 and 904... [ Read More ]

Vaccine Administration Question

The company I work for have been using 90471, 90472 and 90473 or 90474 for vaccine administration is this correct? Or should we be using 90460 and 90461? Our EMR is throwing out this error all of th... [ Read More ]

how to bill the scenario

[QUOTE="OpenClaims, post: 513042, member: 835846"] Yes, you'll need to do the following in order to get all paid. Keep in mind that some payors don't want to pay the separate E/M but I typically send ... [ Read More ]

25 modifier on E&M with immunization and administration codes

I am getting denials when billing a E&M such as 99213 with an immunization of 90677 and an administration code of 90471. The denial code of CO97 "benefit for services included in payment for another... [ Read More ]

how to bill the scenario

Yes, you'll need to do the following in order to get all paid. Keep in mind that some payors don't want to pay the separate E/M but I typically send back to them that both encounters are supported and... [ Read More ]

how to bill the scenario

pt had preventive visit, office visit and vaccine example 99386 99213 90715 90471 do i add modifier 25 on both 99386 and 99213 ?... [ Read More ]

Preventive visit with vaccination

Read the definition of Modifier 25. Does the documentation meet the requirements? Does the documentation support 90471/90472 being reported separately with the 99394? What does the Medicaid manual for... [ Read More ]

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