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CPT 2011: Vaccine Product to 90460, 90461 Crosswalk

How to count components for Boostrix, Pediarix – and other immunizations.

Excited by the new vaccine administration codes’ payment per component but not sure how many components specific vaccines have? This chart does the work for you.

Find the product name for a quick cross reference to how many components the vaccine includes and the administration with counseling code combination to report using the new pediatric/adolescent codes.

Note: The ICD-9 vaccine product code listed in the chart uses the generalized vaccine product code (V06.8, Need for prophylactic vaccination and inoculation against other combinations of diseases). For vaccine administration provided outside of a preventive medicine service, the American Academy of Pediatrics recommends using V06.8 for combination vaccines that do not have their own individual single ICD-9 code.

Vaccine Product Manufacturer Components CPT Product Code Number  of Components CPT 2011 Administration with Counseling Code ICD-9-CM 2011 Code
ActHIB Sanofi Pasteur Hib 90648 1 90460 V03.81
Adacel Sanofi Pasteur Tdap (tetanus- diphtheria-acellular pertussis) 90715 3 90460, +90461 x 2 V06.1
Boostrix GlaxoSmithKline Tdap 90715 3 90460, +90461 x 2 V06.1
Cervarix GlaxoSmithKline HPV 90650 1 90460 V04.89
Comvax Merck HepB-Hib 90748 2 90460, +90461 V06.8
Daptacel Sanofi Pasteur DTaP 90700 3 90460, +90461 x 2 V06.1
Decavac Sanofi Pasteur Td (tetanus-diphtheria toxoids absorbed) 90714 2 90460, +90461 V06.5
Engerix-B adult GlaxoSmithKline HepB 90746 1 90460 V05.3
Engerix-B, 4-dose,  D/IS GlaxoSmithKline HepB 90747 1 90460 V05.3
Engerix-B ped/adult, 3-dose, PF GlaxoSmithKline HepB 90744 1 90460 V05.3
Fluarix GlaxoSmithKline Influenza 90656 1 90460 V04.81
FluMist MedImmune Influenza 90660 1 90460 V04.81
Fluvirin Novartis Influenza 90658 1 90460 V04.81
Fluvirin, age 6-35 months Novartis Influenza 90657 1 90460 V04.81
Fluvirin, PF Novartis Influenza 90656 1 90460 V04.81
Fluzone, age 6-35 months Sanofi Pasteur Influenza 90657 1 90460 V04.81
Fluzone, age 3+ Sanofi Pasteur Influenza 90658 1 90460 V04.81
Fluzone No Preservative Pediatric, age 6-35 months Sanofi Pasteur Influenza 90655 1 90460 V04.81
Fluzone No Preservative, age 3+ Sanofi Pasteur Influenza 90656 1 90460 V04.81
Gardasil Merck HPV 90649 1 90460 V04.89
Havrix, 2 dose GlaxoSmithKline Hep A 90633 1 90460 V05.3
Havrix, 3 dose GlaxoSmithKline Hep A 90634 1 90460 V05.3
HibTITER Wyeth Hib 90645 1 90460 V03.81
Infanrix GlaxoSmithKline DTaP 90700 3 90460, +90461 x 2 V06.1
Influenza, pandemic, intranasal Influenza 90664 1 90460 V04.81
Influenza, pandemic PF Influenza 90666 1 90460 V04.81
Influenza, pandemic, adjuvanted Influenza 90667 1 90460 V04.81
Influenza, pandemic IM Influenza 90668 1 90460 V04.81
IPOL Sanofi Pasteur IPV 90713 1 90460 V04.0
Kinrex GlaxoSmithKline DTaP -IPV 90696 4 90460, +90461 x 3 V06.8
MMR II Merck Measles, mumps, rubella 90707 3 90460, +90461 x 2 V06.4
Menactra Sanofi Pasteur Meningococcal 90734 1 90460 V03.89
MenHybrix GlaxoSmithKline Meningococcal, Hib 90644 2 90460, +90461 V06.8
Menomune Sanofi Pasteur Meningococcal 90733 1 90460 V03.89
Menveo Novartis Meningococcal 90734 1 90460 V03.89
Pediarix GlaxoSmithKline DTaP-HepB-IPV 90723 5 90460, +90461 x 4 V06.8
PedvaxHIB Sanofi Pasteur Hib 90647 1 90460 V03.81
Pentacel Sanofi Pasteur DTaP-Hib-IPV 90698 5 90460, +90461 x 4 V06.8
Pneumo-vax 23 Merck Pneumoccal 90732 1 90460 V03.82
Prevnar-13 Wyeth Pneumoccal 90670 1 90460 V03.82
ProQuad Merck MMR-V 90710 4 90460, +90461 x 3 V06.8
Recombivax HB adolescent Merck HepB, 2-dose 90743 1 90460 V05.3
Recombivax HB adult Merck HepB 90746 1 90460, +90461 V05.3
Recombivax HB D/IS Merck HepB 90740 1 90460 V05.3
Recombivax HB ped/adult Merck HepB 90744 1 90460 V05.3
Rotateq, 3 dose Merck Rotavirus 90680 1 90460 V04.89
Rotarix, 2 dose GlaxoSmithKline Rotavirus 90681 1 90460 V04.89
Td – adult, 7+ years Sanofi Pasteur Tetanus and diphtheria toxoids absorbed 90718 2 90460, +90461 V06.5
TriHIBit Sanofi Pasteur DTAP-Hib 90721 4 90460, +90461 x 3 V06.8
Tripedia Sanofi Pasteur DTaP 90700 3 90460, +90461 x 2 V06.1
Twinrex GlaxoSmithKline HepA-HepB 90636 2 90460, +90461 V06.8
VAQTA Merck HepA 90633 1 90460 V05.3
Varivax Merck Varicella 90716 1 90460 V05.4

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