90460 vs. 90471

LKaf7

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Parma, OH
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Hello!

I need some clarification. CPT guidelines states "For immunization administration of any vaccine that is not accompanied by face to face physician or qualified health care professional counseling to the patient/family OR for administration of vaccines to patients over 18 years of age, report codes 90471-90474.

So, if a patient under the age of 18 comes in for vaccines but no counseling is performed, 90471 would be used?

Thank you,
Leah
 
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90460/90461 vs 90471/90472

So when do you use the 90460 and 90461 for immunizations? I had a coder tell her FP clinic this years ago and others are arguing back that it should be the 90471 and 90472. Help me to understand it in black and white, please. Thanks
 

CodingKing

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Counseling is require to bill the [FONT=&quot]90460/90461[/FONT] regardless of patient age.
 

erjones147

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So when do you use the 90460 and 90461 for immunizations? I had a coder tell her FP clinic this years ago and others are arguing back that it should be the 90471 and 90472. Help me to understand it in black and white, please. Thanks

One example that we use at our clinic is when a mother may refuse a vaccination when offered by the nurse/MA, but then the doctor convinces the parent during the Well Child to change her mind and allow the shot

Another example would be if the doctor/FNP goes over key points regarding specific vaccinations from a CDC guide
 
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