IMPORTANT SAFETY INFORMATION
Telephone Receiver Handset

Any Questions?

Contact the Vaccines
Reimbursement
Support Center

Learn More

Diagnosis Codes

ICD-10-CM codes are used to report diseases and conditions. These will be needed on the CMS-1500 form.

View More Information

Printable Summary Sheet

This PDF provides a summary of CPT codes for GSK Vaccines.

View Summary Sheet
View all Vaccines
Coding for SHINGRIX
Print Page

This section provides the vaccine product codes as well as some common administration codes associated with immunization using SHINGRIX. Administration codes will vary based on the service provided. Please refer to your most up-to-date Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) manuals for appropriate coding.

INDICATION

SHINGRIX is a vaccine indicated for prevention of herpes zoster (shingles) in adults aged 50 years and older.

SHINGRIX is not indicated for prevention of primary varicella infection (chickenpox).

  CPT
Code
Description [46] NDCs* ICD-10-CM
Code [8]**
Adult dose:
0.5 mL
90750 SHINGRIX is supplied as 2 components: a single-dose vial of lyophilized gE antigen component (brown caps) and a single-dose vial of adjuvant suspension component (blue-green caps).   Z23
SHINGRIX is supplied as an outer package of 1 dose
Lyophilized Antigen Vial:
Adjuvant Suspension Vial:
Outer Package:
NDC 58160-828-01 NDC 58160-829-01 NDC 58160-819-12
SHINGRIX is supplied as an outer package of 10 doses  
Lyophilized Antigen Vial:
Adjuvant Suspension Vial:
Outer Package:
NDC 58160-828-03 NDC 58160-829-03 NDC 58160-823-11
* Note that some payers require an 11-digit NDC, which involves adding a "0" immediately after the first hyphen in each GSK NDC. For example, when reporting NDC 58160-820-11 to TRICARE, it becomes NDC 58160-0820-11. [14]
** With the implementation of ICD-10-CM, all vaccine-related encounters are reported as code Z23 for all vaccines given.
TIP To promote accuracy, always consult the most current Prescribing Information or product packaging when documenting NDCs.
Immunization Administration Codes (CPT) [6]
CPT Immunization administration through 18 years of age with counseling by physician or other qualified healthcare professional
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
+90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)
Adapted from American Medical Association. CPT 2016 Professional Edition.
TIP If reporting multiple vaccine administrations given to a patient through age 18 years on the same date along with counseling by a qualified healthcare professional, report one administration code (90460) for each vaccine administered.

If a vaccine has multiple components, then 90460 should be reported once in conjunction with 90461 for each additional vaccine/toxoid component contained within that vaccine. [6]

IMPORTANT SAFETY INFORMATION

All trademarks are the property of their respective owners.

826733R0 October 2017

Please note that this website is provided for informational purposes only and is not intended to serve as comprehensive training on medical billing and coding. Additional training on medical coding may be required. The information on this website is believed to be accurate as of the date of publication. Users should independently verify accuracy.

Healthcare providers are responsible for making the ultimate decision on when to use a specific product based on clinical recommendations and how to bill for products and related services rendered. Consult third-party insurers' guidelines for specific information regarding the billing and reporting of services rendered.

You are encouraged to report vaccine adverse events to the US Department of Health and Human Services.
Visit www.vaers.hhs.gov to file a report, or call 1-800-822-7967.

To learn more about the
GSK Vaccines Access Program,
click here.
Contact Us