Page 3 of 6 FirstFirst 123456 LastLast
Results 21 to 30 of 51

New CPT codes 90460 and 90461

  1. #21
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Exam Training Packages
    Interesting.....if you report the above example as:

    90658
    90715
    90460 X 2
    90461 X 2

    then would you not be reporting 90460 per vaccine? Or are you saying you report 90460 as a line item for each vaccine given?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #22
    Default
    Quote Originally Posted by dballard2004 View Post
    Interesting.....if you report the above example as:

    90658
    90715
    90460 X 2
    90461 X 2

    then would you not be reporting 90460 per vaccine? Or are you saying you report 90460 as a line item for each vaccine given?
    Dawson, report 90460 as a line item. If you are a member of the American Academy of Pediatrics (or one of your physicians is), there's an excellent Q-and-A about the 2011 admin codes on the AAP website.

  3. #23
    Location
    North Carolina
    Posts
    3,126

  4. #24
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks to all of you!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  5. #25
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Another question here.....per this document from the AAP, an RN may be able to report these codes if he/she provides counseling first prior to the vaccine, I went to a workshop sponsored by the AMA and their stance is that 90460/90461 can only be reported by a MD or mid-level provider (i.e. NP or PA). Can someone please clarify? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  6. Cool 90460-90461 coding when an RN does counseling
    does anyone know if the rationale for "or other qaulified health care professional" includes an RN, or are only MD, NP, CNM, PA consider in this role?

    In other words could you use this code for a pediatric immunization where the RN did the counseling and Admin?

    Thanks
    G Tassinari, CPC, PCA
    Billing Manager
    PCHC
    Last edited by ginanhp; 12-15-2010 at 03:45 PM.

  7. #27
    Location
    Spokane Washington 50913
    Posts
    8
    Default
    For the new CPT codes 90460 and 90461, after the physician counsels the parents, can the medical assistant administer the immunizations, or the physician has to administer them.

  8. Default 90460....
    Hi ,

    I was asked what if a doctor does the counseling and the MA administers the vaccine, can we still bill 90460 or the dr has to do the counseling and the administration?

    thanks
    Celine

  9. Default 90460- administration/couseling
    http://www.aap.org/immunization/pedi...2010_enews.pdf

    Please see page 5 "special section".

    It says that
    "The pediatric IA code (90460) is reported only when both of the following requirements are met: 1. The patient must be 18 years of age or younger and 2.The physician or other qualified healthcare professional (refer to state scope of practice laws in your state) must perform face-to-face vaccine counseling associated with the administration([B]Note: Any clinical staff can do the actual administration ofthe vaccine.)
    '

  10. Default
    what codes are used if the patient is over 18 years of age?

Page 3 of 6 FirstFirst 123456 LastLast

Similar Threads

  1. 90460,90461 help
    By TLC in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-11-2014, 03:47 PM
  2. New Administration Codes 90460-90461
    By caroline in forum Pediatrics
    Replies: 6
    Last Post: 01-18-2011, 09:36 AM
  3. New 2011 admin codes 90460 and 90461
    By Lisa Bledsoe in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 01-07-2011, 05:20 PM

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?

Login

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.