Immunization Administration Coding

We have received several questions from our members in the last month regarding proper coding and documentation for immunization administration.  There are 6 codes that apply:

Under 19, with counseling on each vaccine component:
90460 – first component
90461 – additional component

Under 19, without counseling on each vaccine component OR over 19:
90471 – first injection
90472 – additional injection
90473 – first oral or intranasal administration
90474- additional oral or intranasal administration

In order to bill 90460 and 90461, counseling by a physician or other qualified healthcare professional must be performed on each vaccine component and it must be documented in the medical record.

Please refer to the AAP’s Frequently Asked Question (FAQ) document that helps address vaccine administration coding questions for more information.