What is the CPT code 90460?
The pediatric immunization administration with counseling codes are: 90460: Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered.
What is the primary code for 90471?
Initial administration codes include: 90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial. 90473: Immunization administration for intra-nasal or oral route, initial.
Does Medicaid pay for 90460?
For administration (through 18 years of age) of multiple VFC vaccines on the same date, code 90460 should be used for each vaccine administered. Medicaid WILL NOT reimburse providers for vaccines for individuals under the age of 19 when available through the VFC program.
Does Medicare pay for CPT 90471?
You would have to use 90471 because G0008 is not a primary code for 90472. Also remember, Medicare doesn’t pay for vaccinations outside of the flu, pneomoccocal and HepB. They will pay for tetanus if there is a medical reason for it, but not just a preventative vaccination.
What is the difference between CPT code 90460 and 90471?
The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. Code 90471 is used when the drug is administrated by a medical assistant or nurse and the patient does not see the physician at all.
Is 90471 an add on code?
They are not “add on” to each other they work in conjunction to one another. The 90471 is the primary administration of the 90476 primary substance.
Can you bill G0009 and 90471 together?
Description of HCPCS code G0008, G0009, G0010 & CPT code 90471, 90472, 90473, +90474. The HCPCS administration codes and the vaccine codes have a one-to-one relationship and are always paired together. Rules for reporting initial or subsequent vaccines do not apply.
