Vinod Posted Tue 13th of November, 2012 14:47:31 PM
If multiple immunization administation performed on the same day, should I use modifier 76 for CPT codes '90460' and '90461' or report multiple units for those CPT codes ( for example: 90460 x 2
SuperCoder Answered Wed 14th of November, 2012 02:52:10 AM
These codes are reported per vaccine/toxoid component. CPT defines a component for these purposes as each antigen in a vaccine that prevents disease(s) caused by one organism. Combination vaccines are those vaccines that contain multiple vaccine components.
You may report multiple units of code 90460 for each first vaccine/toxoid component administered. No modifier should be required when reporting multiple first components. Note also that code 90460 does not apply only to combination vaccines, but also to single component vaccines (such as influenza, human papilloma virus or pneumococcal conjugate vaccines). This base code is reported for each vaccine administration to patients 18 years of age and under who receive counseling about the vaccine from a physician or qualified health care professional at the time of administration. Code 90461 is an add-on code reported for each additional vaccine component administered.