06-12-2017, 04:15 AM | Community Wiki

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What cpt code to bill for a TDAP over 18 age

  1. #1
    Default What cpt code to bill for a TDAP over 18 age
    Medical Coding Books
    Pt is over 18 years old came for TDAP vaccine, whats the correct cpt codes to use?? is it 90471 and 90715.. or 90715, 90471, 90472 X2 since DTAP has 3 components.

  2. #2
    Location
    Columbus, OH
    Posts
    219
    Default
    90715 and 90471 only.

    90471 is utilized for the first vaccination administration (single or combo vaccine)
    90472 for each additional vaccination administration (single or combo vaccine)

    There are new vaccination codes for pediatric patients when counseling is provided and these are the ones that are billed per component instead of per vaccine. As this patient is over 18 years of age AND no counseling was provided the below codes do not apply, but I think this may be where the mix up with vaccine components is coming from.

    90460 Immunization administration thru 18 years of age via any route, with counseling; first vaccine/toxoid component
    90460 ... each additiona vaccine/toxoid component.
    ___________________________________
    Michelle Wood, RHIT, CCS-P, CPC, CPMA, CEMC, AAPC Fellow
    2017 AAPC Columbus, Ohio Chapter President
    president.aapc.colsoh@gmail.com

  3. #3
    Default
    Thank you for clearing that up!!

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