CPT® Code 90461

Add-On Code

Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component administered (List separately in addition to code for primary procedure)

The CPT® Code 90461 refers to the administration of immunizations for patients who are 18 years of age or younger. This code specifically applies when additional vaccine or toxoid components are administered during a single encounter. The procedure involves a face-to-face interaction with a physician or another qualified healthcare professional, such as a physician assistant or nurse practitioner. During this encounter, the healthcare provider offers comprehensive counseling to the patient, their parent, or a family member regarding the vaccine or toxoid being administered. This counseling includes critical information about the indications for the vaccine, whether it is a single dose or part of a multi-dose schedule, potential side effects, and guidance on which side effects may necessitate medical follow-up. The administration of the vaccine or combination vaccine/toxoid can occur through various routes, including percutaneous, intradermal, subcutaneous, intramuscular, intranasal, or oral methods. It is important to note that CPT® Code 90460 should be used for the first or only component of each vaccine or toxoid administered to a patient under 18 years of age, while CPT® Code 90461 is designated for each additional component administered during the same visit.