AAPC - Back to school
Results 1 to 3 of 3

Thread: Immunization Counseling - If a physician provides

  1. #1
    Join Date
    Apr 2007
    Kennewick, WA

    Default Immunization Counseling - If a physician provides

    AAPC: Back to School
    If a physician provides immunization counseling, but a parent refuses the recommended immunizations for their child, is there an appropriate CPT code for this situation?


  2. #2
    Join Date
    Apr 2007
    Ft. Worth, Texas


    You can try DX V64.05 as the DX for 90465 and the CPT code for the vaccine and put a $0.00 charge for the vaccine and see if they pay. Make sure the counseling was documented in the chart.
    Last edited by Biller385; 10-25-2010 at 11:16 AM. Reason: Need to add more info

  3. #3


    For the ICD-9-CM codes, I would report V65.49 for the counseling and V64.05 for the vaccine not carried out because of caregiver refusal. Code V64.05 is a secondary code only. I would not report 90465. This is for vaccine administration and you did not administer the vaccine. If the visit was strictly for the vaccine and counseling, I would report a code from the preventative counseling series (99401-99404).
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

Similar Threads

  1. Immunization Counseling - Codes 90460 and 90461
    By dkeversmiles2 in forum Billing/Reimbursement
    Replies: 2
    Last Post: 06-20-2014, 03:14 PM
  2. Immunization Administration w/ Counseling
    By Linda77 in forum Family Practice
    Replies: 2
    Last Post: 11-14-2013, 03:54 PM
  3. Immunization Administration w/ Counseling
    By Linda77 in forum Family Practice
    Replies: 0
    Last Post: 11-12-2013, 08:57 AM
  4. Immunization counseling code?
    By KESIA in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-01-2009, 10:06 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.