Immunization Coding CPT Malayalam Detailed Explanation I #Immunizationcodingmalayalam #CPTmalayalam

Report codes 90460-90461 only if the provider counsels the patient/ family face-to-face during the administration of the vaccine/toxoid to a child younger than 18 years of age.

These Administration codes are reported for vaccine(s) with multiple components (combination vaccine), in which you report 90460 for the first component and the additional component(s) in that vaccine you report 90461.

An example of a combination vaccine is the MMR vaccine which is made up of three vaccine components: Mumps, Measles, and Rubella.
Code 90460 is reported for the first component (Mumps)
Code 90461 x 2 is reported for the two additional components (Measles and Rubella).

Add-on code 90461 is only reported for additional component(s) in combination vaccine(s).
An example: Polio and Hepatitis B vaccine, Code 90460*2 only

Report codes 90471-90474 if no counseling is provided for a child less than 18 years of age and for the administration of vaccine(s)/toxoid(s) to patients over 18 years of age.

These administration codes are not reported by each vaccine component in a combination vaccine, but reported by how each vaccination is given (IM, orally, subcutaneously, etc.).

For example, a MMR vaccine given intramuscularly without counseling is reported with one administration code, 90471.

Do not report modifier 51 with these services.

If a significant, separately identifiable E/M service is provided at the same encounter, the appropriate E/M service may also be reported with modifier 25.

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