I want to start off by saying that I completely understand how to correctly report the new pediatric vaccine administration codes (90460/90461), but I do have an additional question that has come up.

What if a patient presents to the clinic for a combination vaccine (Tdap), but the physician only counsels regarding the first component only (tetanus) and not the other two components? How would this be coded?

I am thinking we would only report 90460 since this is for each vaccine administered and Tdap is only one vaccine, but I would like other opinions as well. Thanks.