Coding > Coding

90460/90461

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jenniferp:
Good afternoon all --

I have a question about 90460 & 90461.  If we have a patient that comes in and gets multiple vaccinations (ex. MMR, DTaP, Pneumonia and Hepatitis A), is there a limit on how many times the 90461 can be billed per date of service?

One of our coders is saying to bill the 90460 four (4) times w/necessary modifiers because the description states it's for the first component of a vaccination.  Then bill the 90461 four (4) times for the remaining vaccines.  I'm new to primary care billing and want to be sure.

Possible billing example #1 (in addition to an E/M code)
90460  (measles)
90461-59 (mumps)
90461-59 (rubella)

90460-76  (diphtheria)
90461-59-76 (tetanus)
90461-59-76  (pertussis)

90460-76 (pneumonia)

90460-76 (hepatitis)

I am grateful for ANY input on this.

Thanks!!
Jennifer :)

Michele:
I have never billed more than one vaccination on a billing but I believe the example below is correct based on the description of the 90460.

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