The American Academy of Pediatrics (AAP) closely monitors coding edits that are developed by the Centers for Medicare & Medicaid Services (CMS) for the National Correct Coding Initiative (NCCI) and has the opportunity to comment or appeal edits.

Recently the AAP Committee on Coding and Nomenclature requested the following:

In response to the AAP requests,

The NCCI pairs the new pediatric immunization administration codes 90460 and 90461 with non-pediatric immunization first-administration codes 90471 and 90473, not allowing codes from both sets to be reported on the same day of service by the same physician or physician of the same group and specialty (Table 2). If a physician personally performs counseling on one vaccine but not on another when given during the same encounter, immunization administration will be reported using codes 90460 (and 90461 if appropriate) and either 90472 (immunization administration, each additional vaccine via injection) or 90474 (each additional...

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