CPT update for 2011: immunizations, observations and more.

نویسنده

  • Cindy Hughes
چکیده

CPT 2011 brings significant changes to the pediatric vaccine administration codes, in part to better handle the reporting of combination vaccines. The value of combination vaccines, which can reduce the number of shots required and thus increase vaccination rates, is well known. However, because of the time and effort necessary to counsel parents and caregivers about each vaccine component, practices have always had a backwards incentive to provide individual vaccines, rather than combination vaccines, so they could report multiple administration services to recover their costs – until now. To address this, CPT 2011 replaces codes 90465-90468 with two new codes: • 90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component, • +90461 Each additional vaccine/toxoid component. (List separately in addition to code for primary procedure.) The new administration codes should be reported per vaccine/toxoid component. CPT defines “component” as each antigen in a vaccine that prevents disease(s) caused by one organism. Combination vaccines are those vaccines that contain multiple vaccine components. (See a list of common pediatric vaccines and their components on page 7.) It is important to recognize what the codes do and do not include. First, these codes are limited to immunization administration, meaning the vaccines must be separately reported. Additionally, a face-to-face service with counseling is required. In the absence of counseling, the administrations must be reported with codes 9047190474. The new codes are reported for administration to patients through the age of 18. (No, that’s not a typo. ➤

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عنوان ژورنال:
  • Family practice management

دوره 18 1  شماره 

صفحات  -

تاریخ انتشار 2011