Guided Notes

The Medicine Section: Vaccines, Infusions & Therapy

Immunization administration, injection and infusion hierarchy, therapy services and the 8-minute rule, psychiatry, ophthalmology, allergy and other Medicine-section services.

Immunizations

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Every vaccine needs two codes: the product and the administration. • Products: 90xxx (e.g. 90686 flu vaccine quadrivalent preservative-free; 90715 Tdap), new COVID-19 codes as released. • Administration: 90471 (first injection) + 90472 (each additional); 90473/+90474 (oral/intranasal). • Under 18 with provider counseling: 90460 (first component of each vaccine) + 90461 (each additional component). • Medicare uses G0008 (flu), G0009 (pneumococcal), G0010 (hepatitis B) for administration. • Diagnosis: Z23.

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