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Thread: Question about 90460-90461 and 90471-90474 Used together

  1. #11

    Default Counseled and NonCounseled during same visit

    AAPC: Back to School
    A patient is recieving 90715 (3 components) and 90733 (1 component), but the physician is marking 90471, 90472 (1 unit), 90460, and 90461 (2 units).

    If one is counseled and the other is not, shouldn't this be specified?

    I would assume that the 90715 would be getting the counseled 90460 and 90461 to cover all 3 components. And, the 90733 would get the 90471. But that would leave the 90472.

    Is there a rule where the counseled codes can not be used on the same vaccine with non-counseled?

    Please help.

  2. #12

    Default 90460, 90461 Medicine Section

    According to CPT-2014 it looks like you have to unbundled under 18 yrs. (ex) Rota, DTAP-Hib, PCV would be coding like this -
    90460X3, 90461X3,90680,90721,90669 does anyone know when this change took place ( We checked old CPT books they didn't indicate you had to unbundled under 18yr.) PLEASE HELP going to take the test soon.


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