For Professor Ryan

Well Visit EZ Coder Children Adolescent Age: Birth through 18

99381 Infant: younger than 1 year

99382 Early childhood: age 1 through 4 years

99383 Late childhood: age 5 through 11 year

99384 Adolescent: age 12 through 17 year

99391 Infant: younger than 1 year

99392 Early childhood: age 1 through 4 years

99393 Late childhood: age 5 through 11 year

99394 Adolescent: age 12 through 17 year

90700 Z23 Encounter for Immunization

90702 Z23 Encounter for Immunization

90714 Z23 Encounter for Immunization

90715 Z23 Encounter for Immunization

H e p

A 90633 Z23 Encounter for Immunization

90744 Z23 Encounter for Immunization

* G0010

90645 Z23 Encounter for Immunization

90646 Z23 Encounter for Immunization

90647 Z23 Encounter for Immunization

90648 Z23 Encounter for Immunization

H P

V

90649 Z23 Encounter for Immunization

90655 Z23 Encounter for Immunization

90656 Z23 Encounter for Immunization

Q2037 Z23 Encounter for Immunization

Q2038 Z23 Encounter for Immunization

* G0008

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90734 Z23 Encounter for Immunization

M M

R

90707 Z23 Encounter for Immunization

IP V

90713 Z23 Encounter for Immunization

90670 Z23 Encounter for Immunization

90732 Z23 Encounter for Immunization

* G0009

90680 Z23 Encounter for Immunization

90681 Z23 Encounter for Immunization

V a ri

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90716 Z23 Encounter for Immunization

90460

+ 90461

90471

+ 90472

1. Choose one code from the appropriate Comprehensive Preventive Medicine Section

2. Choose appropriate vaccine code (s) from Immunization and Vaccines Section R

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l Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use (Pneumovax)

Pneumococcal conjugate vaccine, polyvalent, 13 Valent, for intramuscular use (Prevnar)

In fl

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3. Choose appropriate administration code (s) for vaccine code (s) from Administration for Vaccine Section

CPT Code and Description ICD-10 Code

E s ta

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Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use

Reminder: All vaccines must be entered into Florida Shots: www.FLSHOTS.com

A d

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0 4 7 6 -

9 0 7 4 9

Immunization administration through 18 years of age via any route of administration, with counseling by

physician or other qualified health care professional; first or only component of each vaccine or toxoid

administered

Immunization administration (includes percutaneous, intradermal, subcutaneous or intramuscular

injections); 1 vaccine (single or combination vaccine/toxoid)

Diphtheria and tetanus toxoids (DT) adsorbed when administered in individuals younger than 7 years, for

intramuscular use

Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals

younger than 7 years, for intramuscular use

Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to individuals 7

years or older, for intramuscular use

Evaluation and management:

→ age and gender appropriate history

→ examination

→ counseling

→ anticipatory guidance

→ risk factor reduction interventions

→ order appropriate immunizations,

lab/diagnostic procedures

N e w

1 . C

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M e d

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& M

3 . A

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Reevaluation and management:

→ age and gender appropriate history

→ examination

→ counseling

→ anticipatory guidance

→ risk factor reduction interventions

→ order appropriate immunizations,

lab/diagnostic procedures

Influenza virus vaccine, trivalent, split virus, preservative free, when administered to children 6-35

months of age, for intramuscular use

Measles, Mumps, Rubella virus vaccine {MMR}, live, for subcutaneous use

Varicella virus vaccine, live, for subcutaneous use

Hemophilus influenza b vaccine (Hib), PRP-OMP conjugate -3 dose schedule, for intramuscular use

Rotavirus vaccine, pentavalent - 3 dose schedule, live, for oral use (ROTATEQ)

Z00.110: Health Examination for Newborn Under 8 Days Old

OR

Z00.111: Health Examination for Newborn 8 to 28 Days Old

AND

Pediatric Body Mass Index (BMI)

Z68.51: BMI Less than 5th percentile for age

Z68.52: BMI 5th to Less than 85th percentile for age

Z68.53: BMI 85th to Less than 95th percentile for age

Z68.54: BMI Less than or Equal to 95th percentile for age

AND

Z71.3: Dietary counseling and surveillance

AND

Z71.89: Other Specified Counseling

Hemophilus influenza b vaccine (Hib), PRP-D conjugate, for booster use only, for intramuscular use

Tetanus, diphtheria toxoids and acellular pertussis (Tdap), when administered to individuals 7 years or

older, for intramuscular use

Hepatitis A vaccine, pediatric/adolescent dosage - 2 dose schedule, for intramuscular use

Hepatitis B pediatric/adolescent dosage - 3 dose schedule, for intramuscular use

Hemophilus influenza b vaccine (Hib), HbOC conjugate - 4 dose schedule, for intramuscular use

Administration of Hep B vaccine (Any patient except Medicaid or Medipass)

D T

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ICD-10 codes must link to administration codes.

However, these CPT codes must be used in addition to

the specific vaccine/toxoid product codes listed in the

Immunization Administration and Vaccines section of

this EZ Coder.

Any patient except for Medicaid or Medipass, please

see administration G codes which should be reported

in conjunction with the vaccine code. You will find this

in the Administration and Vaccine Section of the EZ

Coder following the appropriate vaccine code for:

* Hep B * Influenza * Pneumococcal

Hemophilus influenza b vaccine (Hib), PRP-T conjugate - 4 dose schedule, for intramuscular use

Human Papilloma virus (HPV) vaccine types 6, 11, 16, 18 (Quadrivalent), 3 dose schedule, for

intramuscular use

Age Eligibility: Healthy Kids 11 thru 18, Commercial members - 11 until 27th birthday.

Medipass: 11 or 12 years of age.

Influenza virus vaccine, split virus, for individuals, 3 years of age and older, for intramuscular use

(Fluzone)

Influenza virus vaccine, trivalent, split virus, preservative free, when administered to individuals 3 years

and older, for intramuscular use

each additional vaccine or toxoid component administered (List separately in addition to code for primary

procedure) *Note to be used on combination vaccines as well.*

each additional vaccine (Single or Combination Vaccine/Toxoid) (List separately in addition to code for

Primary procedure)

Use With Code 90471 - list separately

Administration of pneumococcal vaccine (Any patient except Medicaid or Medipass)

Rotavirus vaccine, human, attenuated, 2 dose schedule, live, for oral use (Rotarix)

Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for intramuscular use,

(Menactra)

Influenza virus vaccine, split virus, for individuals, 3 years of age and older, for intramuscular use

(Fluvirin)

Administration of influenza virus vaccine (Any patient except Medicaid or Medipass)

Created by Program Management Dept. 10.1.15 CWC