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Thread: New CPT codes 90460 and 90461

  1. #1
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    Default New CPT codes 90460 and 90461

    Does anyone have insight on these codes yet? I don't have my new CPT book and have already been asked about them by my Director. Any help would be appreciated.
    thanks
    Debbiep
    Debbie Potts England
    Lyles, TN 37098

  2. #2
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    Talking 90460-90461

    90460 - immunization admin thru age 18 via any route with counseling first vaccine

    90461 - immunization admin thru age 18 via any route with counseling each additional

    These go into effect on 1/1/2011.
    HELEN BULLOCK, CPC

  3. #3
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    Default 90460-90461

    There was mention of per additive in the communique that I have. example given was Tdap would be x 3. Can you verify or dispell that for me?
    thanks for you hlep.
    Debbie Potts England
    Lyles, TN 37098

  4. #4

    Default

    That is correct. The admins are applied to each component (antigen) of the vaccine. For example, the admin for an influenza vaccine would be 90460 even though different strains are involved. The admin for MMR would be 90460, 90461, 90461. I was advised to list the admins separately, not 90460, 90461 x 2 to avoid denials.
    Carole Sterling, CPC

  5. #5
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    Default 90460-90461

    Can you give me a place that this information is in writing? I do not have my new CPT book yet.
    Thanks
    Debbie
    Debbie Potts England
    Lyles, TN 37098

  6. #6

    Smile

    Hi, could someone please advise where this information is coming from? I cannot locate this anywhere and I too do not have my 2011 cpt book yet.
    Thank you so much!

  7. #7
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    Default

    I finally received my CPT book and the codes in question are for counseling for each componet as will as adminstration as far as I can tell. They do not replace the 90471 or 90472 or the other administration codes. they are in addition to them.
    Debbie Potts England
    Lyles, TN 37098

  8. #8
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    Default

    per the AAP:
    Immunization Administration Coding Changes
    Starting next year, there will considerable changes to the reporting of immunization administration (IA). New CPT codes become effective on January 1, 2011 as follows:

    90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component.

    +90461 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine/toxoid component (list separately in addition to code for primary procedure)

    The new codes are reported based on the number of vaccine components rather than the number of injections/administrations.

    Debra A. Mitchell, MSPH, CPC-H

  9. #9
    Join Date
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    Location
    Columbia, MO
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    Default

    per the AAP:
    Immunization Administration Coding Changes
    Starting next year, there will considerable changes to the reporting of immunization administration (IA). New CPT codes become effective on January 1, 2011 as follows:

    90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component.

    +90461 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine/toxoid component (list separately in addition to code for primary procedure)

    The new codes are reported based on the number of vaccine components rather than the number of injections/administrations.

    Debra A. Mitchell, MSPH, CPC-H

  10. #10
    Join Date
    Apr 2007
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    10

    Default Determining the number of components in each vaccine

    Is there an easy way to determine the number of components in each vaccine ? Is there a guide somewhere ?
    Kim Simpson, CPC

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