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   RE: Vaccine Coding
 From: Michael Barron
 To: Member Forum
 Posted: 10-18-2017 09:37

I'm not sure how to 'attach' since we are just using Z23 for all vaccines now with ICD10.  I am getting paid for both.  Did you do another vaccine on the same claim?  If not, one would think the TDaP would be the only possibility for both the 90460 and 90461.


------Original Message------

I recall getting reminded about the 90460 and 90461 codes for pediatric vaccines and I just did a Tdap and tried to bill 90460 (X1 ) and 90461 X2.  The insurance rejected the 90461 saying it wasn't "attached" to any vaccine.   I read the blurb in the AAFP journal about how to code for this, each antigen in a vaccine gets a separate administration code.

Did you get any kick-back from insurance companies and have to explain that each antigen is counted separately?   (Kick-back is a poor choice of words but the only word I can think of)

Is everyone getting paid for this?

Kathleen Saradarian, MD
Branchville, NJ

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