Medical Billing Forum
Coding => Coding => : jenniferp June 06, 2018, 06:18:32 PM
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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 :)
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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.