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vaccine administrative code

Shade Posted Tue 30th of December, 2014 11:36:04 AM

Please clarify if a nurse can give the pneumoccaccal and shingle vaccine without the present of a physician.also the new pneumonia vaccine that is given to adult over 50yrs, can i use the same 90669 code range. and is medicare paying for this, since is new. please help with this questions asap.thank you. Also what is the DX code to use.

SuperCoder Answered Fri 02nd of January, 2015 02:12:11 AM

We are researching on it and will get back to you ASAP. Thanks !!

SuperCoder Answered Fri 02nd of January, 2015 02:12:11 AM
Researching.
Shade Posted Mon 05th of January, 2015 22:52:50 PM

Thank you. i am still waiting for the answer.

SuperCoder Answered Tue 06th of January, 2015 07:41:20 AM

Documentation for vaccine administration should include the date of service, manufacturer, lot number, vaccine type, name and title of the person who administered the vaccine, vaccine information statement with printed dates as well as the route, dose, and site. The physician should have orders in the patient's chart whether the physician is in the office at the time of the administration or not. See attached link for CDC guidelines on vaccine administration.


https://www.cdc.gov/vaccines/pubs/pinkbook/vac-admin.html

There is no specific information available for this new vaccine. Medicare covers all pneumonia vaccine once in a life time. It may cover additional vaccine based on the risk.

There are three codes for pneumonia vaccination which you can also use for new vaccination.

90669, Pneumococcal conjugate vaccine, 7 valent, for intramuscular use.
90670, Pneumococcal conjugate vaccine, 13 valent, for intramuscular use.
90732, Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use.

The code you report for the administration of the vaccine depends on the insurer. For the administration of the pneumonia vaccine to a Medicare beneficiary, use G0009 (Administration of pneumococcal vaccine when no physician fee schedule service on the same day).

For those insurers that do not follow Medicare guidelines, use 90471 (Immunization administration [includes percutaneous, intradermal, subcutaneous, or intramuscular injections]; one vaccine [single or combination vaccine/toxoid]).

You should use the Dx V03.82, Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus].

Thanks !!

SuperCoder Answered Thu 21st of July, 2016 23:59:12 PM
Please use link: https://www.cdc.gov/vaccines/pubs/pinkbook/vac-admin.html instead of http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/D/vacc_admin.pdf, as CDC do not support this link now.

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