ICD-10-CM codes are used to report diseases and conditions. These will be needed on the CMS-1500 form.
View More InformationThis PDF provides a summary of CPT codes for GSK vaccines.
View Summary SheetThis section provides the vaccine product codes as well as some common administration codes associated with immunization using TWINRIX. 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.
TWINRIX is a vaccine indicated for active immunization against disease caused by hepatitis A virus and infection by all known subtypes of hepatitis B virus. TWINRIX is approved for use in persons 18 years of age or older.
CPT Code |
Description [33] | NDCs* | ICD-10-CM Code [8]** |
|
---|---|---|---|---|
18 years of age and older dose: 1 mL Standard dosing: A series of three 1-mL doses given on a 0-, 1-, and 6-month schedule |
90636 | TWINRIX is available in 1-mL single-dose vials and 1-mL single-dose prefilled disposable Tip-Lok® syringes (packaged without needles) (Preservative Free Formulation). | Z23 | |
Vial in Package of 10 | ||||
Vial: Outer Carton: |
NDC 58160-815-01 NDC 58160-815-11 | |||
Syringe in Package of 10 | ||||
Syringe: Outer Carton: |
NDC 58160-815-43 NDC 58160-815-52 |
* | 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. |
Immunization Administration Codes (CPT) [6] | |
---|---|
CPT | Description |
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. |
TWINRIX and Tip-Lok are registered trademarks of the GSK group of companies.
815516R0 December 2016
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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.