AAPC - Back to school
Results 1 to 4 of 4

Thread: Vaccines for children

  1. #1

    Default Vaccines for children

    AAPC: Back to School
    Just wondering if these vaccines are billable? I am receiving two different answers - bill the vaccine, but not the administration. Or bill the administration, but not the vaccine. Please let me know your policy!!!

  2. #2
    Join Date
    Apr 2007
    Kachina Coders


    To my understanding you can bill VFC to your state medicaid without an administration code. Any other insurance you cannot bill, the patient would be responsible for the VFC price of the immunization but not the administration.

    Since VFC is state provided the price you charge for the VFC vaccine itself is in replace of the administration charge and therefore the administration charge is dropped.

    Hope this helps!
    Cheryl Miles, CPC

  3. #3


    Ok, thanks so much for the answer. This is what they are billing, however, I noticed in the medicaid manual it states to bill the administration codes only. But, our state medicaid manual always seems to have problems so I will just call medicaid!!

  4. #4

    Default Vfc

    For tracking purposes within our own practice management software, we bill both the vaccine and the administration codes, then adjust off the vaccine and then adjust the admin. codes down to the allowable. This way, if we need to run a report on all children who have received a certain vaccine, I can pull that information from our system. If we don't have it in there, then we can't pull it for a report. It also helps me to balance the amount of VFC vaccine we are giving against the actual numbers we have written off. Making sure the nurses aren't giving expensive commercial vaccine to VFC eligible and the opposite.

Similar Threads

  1. Topical Anesthesia used mainly for children
    By Jujohnson07 in forum Anesthesia
    Replies: 3
    Last Post: 05-18-2011, 10:51 AM
  2. flu vaccination in children from 3 to 9 yr
    By mrolf in forum Billing/Reimbursement
    Replies: 2
    Last Post: 09-17-2010, 07:51 AM
  3. Child Biting other children
    By JodiLynn in forum Diagnosis Coding
    Replies: 3
    Last Post: 05-13-2010, 11:21 AM
  4. children hospital
    By rcbaker in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-29-2008, 08:18 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.