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90460

Immunization Administration With Counseling

Code Description

CPT code 90460 is used to report immunization administration for patients through 18 years of age when a physician or other qualified healthcare professional provides face-to-face counseling to the patient or caregiver. The code applies to the first or only component of each vaccine or toxoid administered and may be reported regardless of the route of administration.

Unlike CPT 90471, this code specifically requires counseling by the physician or other qualified healthcare professional before the vaccine is administered.

When to Use 90460

Common examples include:

  • Childhood immunizations

  • Well-child visits with vaccine counseling

  • Pediatric vaccine administration

  • Adolescent immunizations

  • Vaccines requiring physician counseling

  • Administration of the first vaccine component

Documentation Requirements

Documentation should include:

  • Vaccine administered

  • Face-to-face counseling provided

  • Patient age (18 years or younger)

  • Vaccine manufacturer and lot number

  • Route of administration

  • Medical record supporting the counseling provided

Common Billing Mistakes

Common billing mistakes include:

  • Reporting 90460 without physician counseling

  • Using 90460 for adult patients

  • Billing the vaccine administration without the vaccine product

  • Failing to report additional components with CPT 90461 when appropriate

  • Insufficient documentation of counseling

Related CPT Codes
90461

Additional Vaccine Component

90471

Immunization Administration (First Vaccine)

96372

Therapeutic Injection

FAQ

What does CPT code 90460 cover?

CPT code 90460 reports immunization administration for patients through 18 years of age when face-to-face counseling is provided by a physician or other qualified healthcare professional for the first or only vaccine component.

What is the difference between CPT 90460 and 90471?

CPT 90460 requires physician or qualified healthcare professional counseling for patients 18 years or younger. CPT 90471 reports vaccine administration without this counseling requirement.

Does CPT 90460 include the vaccine?

No. CPT 90460 reports only the administration and counseling. The vaccine product is billed separately.

When is CPT 90461 reported?

CPT 90461 is reported for each additional vaccine or toxoid component administered during the same encounter when counseling requirements are met.

Procedure Type

Immunization Administration

Patient Age

Service Includes

18 Years and Younger

First or Only Vaccine Component With Counseling