CPT® Code 90471 - Immunization Administration for Vaccines/Toxoids - Codify by AAPC (2024)

• Lay Term
• CPT® Code Guidelines

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• MODIFIERS
• ICD-9-CM Vol1 CrossRef
• ICD-9-CM Vol3 CrossRef

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View matching HCPCS Level II codes and their definitions.

Is the administration site (i.e. Left deltoid, etc.) documentation [B][COLOR=rgb(226, 80, 65)]required [/COLOR][/B]in order to bill the administration of a vaccine? Please let me know where I can find...[ Read More ]

If a patient has an open bite from a raccoon on their left index finger and comes to a county health dept clinic or ER/UCC first and then are referred to the health dept for post-ex to rabies vaccines...[ Read More ]

What would you do if your employer makes you code 90460 and 90461 for every patient for every immunization? The template for our will visits says that counseling is done every time, but I know it is n...[ Read More ]

[QUOTE="Schellie, post: 514491, member: 697993"]The company I work for have been using 90471, 90472 and 90473 or 90474 for vaccine administration is this correct? Or should we be using 90460 and 904...[ Read More ]

The company I work for have been using 90471, 90472 and 90473 or 90474 for vaccine administration is this correct? Or should we be using 90460 and 90461? Our EMR is throwing out this error all of th...[ Read More ]

[QUOTE="OpenClaims, post: 513042, member: 835846"]Yes, you'll need to do the following in order to get all paid. Keep in mind that some payors don't want to pay the separate E/M but I typically send ...[ Read More ]

I am getting denials when billing a E&M such as 99213 with an immunization of 90677 and an administration code of 90471. The denial code of CO97 "benefit for services included in payment for another...[ Read More ]

Yes, you'll need to do the following in order to get all paid. Keep in mind that some payors don't want to pay the separate E/M but I typically send back to them that both encounters are supported and...[ Read More ]

pt had preventive visit, office visit and vaccine example99386992139071590471do i add modifier 25 on both 99386 and 99213 ?...[ Read More ]

Read the definition of Modifier 25. Does the documentation meet the requirements? Does the documentation support 90471/90472 being reported separately with the 99394? What does the Medicaid manual for...[ Read More ]

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Did you know that tetanus vaccines are only covered under Medicare Part B when given for treatment Preventative tetanus vaccinations are noncovered. I found this hard to believe so I looked it up. Sur... [ Read More ]

The CPT Editorial Panel approved 2 vaccine codes and 1 lab code. In response to the monkeypox outbreak the American Medical Association AMA has published three new CPT codes effective July 26 2022 to ... [ Read More ]

Find out what it takes to get these claims paid. Coding infusions hydration and injections is much easier when you understand the hierarchy for facility reporting the differences between initial seque... [ Read More ]

Time to make sure your practice is current on the 20212022 codes and payment allowances for flu vaccine and administration. With the novel coronavirus continuing to circulate and cause severe illness ... [ Read More ]

Deciding which code to use starts with determining each payers policy. The Healthcare Common Procedure Coding System HCPCS has two principal subsystems referred to as Level I and Level II. Knowing whe... [ Read More ]

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