CPT^® 90472, Under Immunization Administration for Vaccines/Toxoids

The Current Procedural Terminology (CPT^®) code 90472 as maintained by American Medical Association, is a medical procedural code under the range - Immunization Administration for Vaccines/Toxoids.

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Summary

This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.

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MODIFIERS
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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 ]

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 ]

Preventive visit with vaccination

The patient 15 years old has only medicaid insurance comes for preventive visit and flu, gardasil shots. 99394-25 90686 x 1 90451 x 1 90471 x 1 90472 x 1 When I use modifier 25 on 99394 we get pai... [ Read More ]

99406

[QUOTE="mwells2020, post: 507518, member: 664391"] We are getting a denial from Aetna Better Health stating that 99406 needs a modifier when billed with 90471 and 90472. What modifier should we use? ... [ Read More ]

99406

We are getting a denial from Aetna Better Health stating that 99406 needs a modifier when billed with 90471 and 90472. What modifier should we use? Thank You!... [ Read More ]

CCI Edits

[QUOTE="njycarter17, post: 504154, member: 732540"] 99406 is smoking and tobacco cessation counseling >3 minutes up to 10 minutes and 90472 is vaccine administration which is an add on code for each a... [ Read More ]

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