Forum - Questions & Answers

Jul 6th, 2015 - cdnorthrup

Coding Z23 for all vaccines

I am a private primary care physician who does my own coding (can't afford a professional coder!)
With ICD-9 my billing staff was able to follow who and how many patients had what vaccine and when because the various vaccines had their own codes. Now, with ICD-10, we won't have that identifier. In ICD-10 it says "Procedure codes are required to identify the types of immunizations given". But, the procedure codes do NOT identify the type of immunization given, just that it was the administration of a vaccine(s) (90471, 90472).
Am I missing something?? As I understand it, in the outpatient setting we are still using CPT®.

Jul 6th, 2015 - lmoncree 14 

re: Coding Z23 for all vaccines

According to your statement...YES you are missing something... the CPT® codes for the vaccines that were administered. CPT® codes 90471 and 90472 are just for the administration, but you should be billing for the actual vaccine (i.e. patient (adult) received a Hep A vaccine...code 90632). The vaccines are listed after the admin codes (in the medicine section of the CPT® book). I hope this is helpful. Good luck!!

Jul 6th, 2015 - lmoncree 14 

re: Coding Z23 for all vaccines

I'm not sure if you're Pediatrics also, but "Coding for Pediatrics" by American Academy of Pediatrics, is an excellent book. It has informative info regarding immunizations/vaccines.



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