April 1997 page 10
Coding Consultation
Medicine, 90707, 90716 (Q&A)
Question
We gave a patient two immunization injections in our office with the measles, mumps and rubella vaccine, and the varicella vaccine. Our third-party payor told us we could only report code, 90710, Measles, mumps, rubella, and varicella vaccine, because all the vaccines were identified with the single code. Since we gave two injections, can we report 90707, Measles, mumps and rubella virus vaccine, live, and 90716, varicella (chicken pox) vaccine?
AMA Comment
Codes in the immunization section, 90700-90749 imply a single injection for the combination listed. If...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article presents a coding consultation from CPT Assistant focused on immunization reporting in the Medicine section of CPT. It addresses a payer question about vaccine coding when more than one injection is administered and explains the broader CPT context for combination immunization codes. The piece is relevant to coders, billing staff, and reimbursement teams working with vaccine claims and CPT guidance.
Why This Topic Matters
Immunization billing can be affected by how vaccine products and injections are represented in CPT, so understanding the article helps readers recognize the general reporting issue discussed in the consultation.
Article Sections
Coding Consultation
A Q&A format discussion of immunization reporting in CPT’s Medicine section and the context for a payer inquiry.
AMA Comment
Editorial guidance from the AMA on how the immunization section is structured and the general reporting context addressed in the consultation.
What You Will Learn
The article’s focus within CPT’s Medicine immunization guidance
How the discussion is framed as a coding consultation and AMA comment
The general issue of reporting vaccine administration when multiple injections are involved
Why the article is relevant for CPT-based immunization billing workflows
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