What is the difference between 90460 and 90461?
Sarah Oconnor
Updated on April 29, 2026
When reporting administration of combination vaccines, code 90460 is reported for the first component and add-on code 90461 is reported for each additional component (no modifier -51 required).
When do you use CPT 90460?
The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. This code can only be used for patients through age 18.
What is procedure code 90461?
CPT® 90461, Under Immunization Administration for Vaccines/Toxoids. The Current Procedural Terminology (CPT®) code 90461 as maintained by American Medical Association, is a medical procedural code under the range – Immunization Administration for Vaccines/Toxoids.
What is CPT code for flu shot?
Payment Allowances and Effective Dates for the 2020-2021 Flu Season:
| Code | Labeler Name | Vaccine Name |
|---|---|---|
| 90688 | Sanofi Pasteur Seqirus | Fluzone Quadrivalent (2020/2021) Afluria Quadrivalent (2020/2021) |
| 90756 | Seqirus | Flucelvax Quadrivalent (2020/2021) |
Can 90460 and 90461 be billed together?
An add-on code (ie, 90461) can only be reported in conjunction with the primary code (in this case, 90460). How does CPT define a vaccine component? A component refers to all antigens in a vaccine that prevent disease(s) caused by one organism.
Can 90460 and 90473 be billed together?
o For administration and physician counseling (CPT 90460-90461) of multiple component vaccines, provided to children 18 years of age or younger, submit 90460 for the first component administered, and 90461 for each additional component included in the vaccine. o Report one initial administration code per day.
What ICD 10 CM code is reported when a flu vaccine is administered?
The code for getting the flu vaccination is Z23, which is the same for any immunization. In October 2017, an ICD-10-PCS code (3E01340) was added to capture the administration of the influenza vaccine.
