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Immunization codes

  1. #1
    Default Immunization codes
    Medical Coding Books
    We are having a problem with CPT codes 90465 90466 90467. Per our coding software edits and the CPT edits, it states that 90465 cannot be used with 90467. The question then is---if the patient comes in and receives 2 Intramuscular injections (Pneumoccoccal Conjugate Vaccine and DTAP) and 1 oral-Rotavirus what are the procedure codes that should be biller?
    90465 90466 90467?
    Ali Coleman ~ CFE, CPC, CEMC
    Defense Health Agency
    TRICARE/Department of Defense
    Health Care Fraud Specialist

  2. #2
    Default Immunizations
    There can only be one initial immunization given, that is why you cant use both 90465 and 90467. Take a look at the following and that should help.They really go in depth with immunization coding. Hope it helps.
    Heather Winters, CPC, CFPC

  3. #3
    Thank you Heather. Now it makes sense. Thank you so much for the information.
    Ali Coleman ~ CFE, CPC, CEMC
    Defense Health Agency
    TRICARE/Department of Defense
    Health Care Fraud Specialist

  4. #4
    Default Immunizations
    You are very welcome - glad to help.
    Heather Winters, CPC, CFPC

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