What is the CPT code 90472?
Code 90472, “Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), each additional vaccine (single or combination vaccine/toxoid),” may be used in conjunction with code 90460 only when a physician provides counseling for one immunization and does not provide ...
Is 90472 an add on code?
Administration services 90472 and 90474 are considered add-on codes. If only a vaccine immunization is administered, bill only the code for the vaccine/toxoid administered and the applicable administration code. correct modifier(s) 25 or 59.
How many times can you bill 90472?
Although 90472 is defined as each additional vaccine, most payers will pay it only twice (three vaccines total) regardless of how many wre administered.
What CPT code is 90471?
Immunization Administration for Vaccines/ToxoidsCPT® 90471, Under Immunization Administration for Vaccines/Toxoids. The Current Procedural Terminology (CPT®) code 90471 as maintained by American Medical Association, is a medical procedural code under the range - Immunization Administration for Vaccines/Toxoids.
How many times can you bill 90471?
Report 90471 and 90473 are for the initial or first vaccine administered, depending on the route of administration. You may use only one initial administration code per patient encounter.
How do I bill pneumonia vaccine for Medicare?
Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine. G0009 administration of pneumococcal vaccine.
What is the administration code for pneumococcal vaccine?
Pneumococcal vaccinations and flu shots The CPT codes for the pneumococcal vaccine are 90669 and 90732. There are four codes for flu vaccine: 90657, 90658, 90659 and 90660. The appropriate vaccine administration code should also be reported.
What is the CPT code for hep B vaccine?
7) along with the appropriate CPT code (90746 for hepatitis B vaccine or 90632 for hepatitis A vaccine) plus the appropriate CPT administration code (90471 for immunization administration).
What is the CPT code for administration of the flu vaccine?
If you administer an injection of the influenza vaccine only, report 90471. If you administer an influenza vaccine in addition to other vaccines, report the influenza injection with 90472. Note that code 90471 or 90473 cannot be reported in conjunction with 90460.
What is the difference between G0008 and 90471?
For vaccines given the same day as a G-Code vaccine, use 90471. For example, if a patient receives a flu shot and tetanus shot, you would bill G0008 for the flu vaccine and 90471 for the tetanus vaccine; also add modifier 59 (distinct procedural service) to the G code.
How do you bill a Tdap shot?
For the TDAP vaccine, report CPT code 90715 (pays approximately $31).