How will the change in CPT codes affect vaccine administration fees under the Vaccines for Children (VFC) program?
Q&A added Dec 2010 The two new CPT codes are: 90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component, 90461 Each additional vaccine/toxoid component. These codes replace 90465, 90466, 90467, and 90468. Every vaccine administered has exactly one first component, and many vaccines have second and subsequent components (e.g., MMR, DTaP, and DTaP/IPV). In the VFC program, the regional vaccine administration fee cap rates were established on a per-vaccine basis, not a per-antigen or per-component basis. Under current interpretation of CMS policy, the administration fee for the VFC program will continue to be based on a per-vaccine basis and not on a per-antigen or per-component basis. CMS is looking closely at the VFC administration fee cap to ensure that it keeps up to date with changes in underlying costs of providing vaccines and with medical practi
Related Questions
- How should providers bill administration fees for VFC vaccines administered to children who are covered by Medicaid and have another form of health coverage?
- Vaccine Administration Fees What are the statutory requirements for the VFC program regarding the vaccine administration fee?
- Who is eligible to receive Vaccines For Children (VFC) vaccine?
