for the vaccination given to newborn that is BCG & Hepatitis B with physician counselling the correct code will be 90460 & 90461 or 90460 x 2
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki immunization codes
- Thread starter farheenkirmani
- Start date
kbell
New
Vaccine admin for newborn
90460 for the first vaccine and then 90461 for the additional vaccines x (however many)
90460 for the first vaccine and then 90461 for the additional vaccines x (however many)
HangarPilot
Guest
That is not accurate...
90460 is for any number of VACCINES with counseling.
90461 is an add-on code for additional COMPONENTS in vaccines (e.g. Dtap, Tdap) or combination vaccines (e.g. Dtap-IPV, Dtap-Hib-IPV, HepA-HepB).
If the vaccine has only one component, it's accounted for in the 90460 units. If the vaccine has additional components, you need 90461 to add them.
If two separate vaccines were given (BCG, HepB) ... two injections ... that's 90460 x2.
I'm not aware of a combination vaccine that's both BCG-HepB, but if there is and this was a single vaccine ... one injection ... then yes, the coding would be 90460 for the vaccine (first component - BCG), plus 90461 for the second component of the vaccine (Hep B). Since we don't deal with BCG I'm not aware of any such combination vaccine.
Here's another example: Patient receives:
Hep A, Hep B (2 separate vaccines, 2 injections) 90460 x2.
HepA-HepB (Combined vaccine, 1 injection) 90460 x1 (first component - Hep A), 90461 x1 (second component - Hep B).
90460 is for any number of VACCINES with counseling.
90461 is an add-on code for additional COMPONENTS in vaccines (e.g. Dtap, Tdap) or combination vaccines (e.g. Dtap-IPV, Dtap-Hib-IPV, HepA-HepB).
If the vaccine has only one component, it's accounted for in the 90460 units. If the vaccine has additional components, you need 90461 to add them.
If two separate vaccines were given (BCG, HepB) ... two injections ... that's 90460 x2.
I'm not aware of a combination vaccine that's both BCG-HepB, but if there is and this was a single vaccine ... one injection ... then yes, the coding would be 90460 for the vaccine (first component - BCG), plus 90461 for the second component of the vaccine (Hep B). Since we don't deal with BCG I'm not aware of any such combination vaccine.
Here's another example: Patient receives:
Hep A, Hep B (2 separate vaccines, 2 injections) 90460 x2.
HepA-HepB (Combined vaccine, 1 injection) 90460 x1 (first component - Hep A), 90461 x1 (second component - Hep B).