Some payers are misinterpreting documentation guidelines for immunization administration (IA) codes 90460 and 90461. In response, the American Academy of Pediatrics (AAP) Committee on Coding and Nomenclature created a letter that provides guidance on appropriate documentation for IA codes (see Immunization Administration and Counseling Requirements). Your practice may want to use this letter to appeal inappropriate documentation requirements in carrier policies.

Reminder: Make certain that your practice is documenting IA services appropriately! Documentation should list all vaccine components along with a notation such as “counseling for all components completed,” followed by the signature of the counseling physician or other qualified health care professional.

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