PROGRESS NOTE
PATIENT: TROHOSKE, RUBY
DATE: 12/14/2016
MEDICAL NOTE:
The patient was seen in the clinic today for a 5-year well-child exam. The physical exam was unremarkable; the patient was at normal growth and development for her age group. The following vaccines are recommended for patient at this visit: DTaP, IPV, MMR, Varicella, and annual Influenza shot. The pediatrician counseled the patient and her parents on the health risks and side-effects associated with each recommended vaccination. What is the correct code for these vaccines?
Explanation
Answer: A - The correct code for these vaccines are: 90460, 90461 (X2), 90700, 90460, 90713, 90460, 90461 (X2), 90707, 90460, 90716, 90460 and 90658. Code 90460 (Immunization Administration…with Counseling by the Physician; First Component of Each Vaccine Administered) refers to the first components of each vaccine. Five vaccines were administered, so 90460 must be coded to account for the first components of each vaccine. In other words, five 90460 codes need to be reported. Additionally, there are two vaccines that have three components, so 90461(Immunization Administration…with Counseling by the Physician; Each Additional Vaccine Component) needs to be listed for each additional component for the multiple component vaccines, therefore four 90461 codes need to be listed.
