Because immunizations are an important component of pediatric care, proper coding for immunization administration and the associated vaccine products is an important component of pediatric practice. Common concerns with immunization coding are related to reporting administration with and without physician counseling, reporting subsequent doses of the same vaccine product, and reporting immunizations with other services.

For current vaccine product codes, see the Vaccine Coding Table link on the Coding Resources page of AAP Pediatric Coding Newsletter™ at http://coding.solutions.aap.org/ss/resources.aspx. Current Procedural Terminology (CPT®) vaccine administration codes include

For administration to patients 18 years and younger, when the physician or qualified health care professional (QHP) provides immunization counseling, administration codes 90460 and 90461 are reported. Code 90460 is reported with one unit for the first or only component of each vaccine product administered regardless of the route of administration. Add-on code 90461 is reported with units for each...

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