Wiki 90460 documentation

[tg]

Hi,

What are the counseling documentation requirements for 90460? The CPT description just says "with counseling". If a chart says "patient counselled regarding vaccine limitations", is that enough?

Thank you!

 

[Squiabro]

tovygoldstein,

Yes, the documentation substantiates the use of CPT 90460 "Patient/Family face-to-face counseling by a physician or other qualified health care professional through age 18.

Hope this helps!

 

[rthames052006]

Hi,

What are the counseling documentation requirements for 90460? The CPT description just says "with counseling". If a chart says "patient counselled regarding vaccine limitations", is that enough?

Thank you!

We have a Vaccine information sheet and consent form that the parent/guardian must sign that states they were counseled on the vaccine(s) It also lists the vaccine(s) that were counseled with parent/guardian signature as well as the provider signature.

 

[tg]

Thank you.

Thank you all for your help.