Common administration and CPT codes for ProQuad\u00ae<\/sup> (Measles, Mumps, Rubella and Varicella Virus Vaccine Live)<\/strong> <\/h1>
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Given CDC recommended dosing for ProQuad differs from the FDA-approved recommended dosing, any cost or coverage information may be out of date. As always, please contact your patient\u2019s insurance provider for specific information about your patient\u2019s cost or coverage.<\/strong><\/p>\n<\/div><\/div><\/div>\n\n\n\n
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Vaccines for Children Program<\/strong><\/h2><\/div>\n\n\n\n
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ProQuad is available through the Vaccines for Children (VFC) Program for children who qualify. Check with your state or local VFC Program to learn more about the specific products available to your practice.<\/strong>1<\/sup><\/p>\n\n\n\n
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CPT and ICD-10-CM codes<\/strong><\/h2><\/div>\n\n\n\n
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Below are the CPT\u00ae Product and Administration codes as set forth in the Current Procedural Terminology. Plan coding requirements may vary, so it is important to check with each payer as to payer-specific requirements. For claim submission procedures regarding government programs (eg, Medicare or Medicaid), contact the appropriate program representative.<\/p>\n\n\n\n
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CPT code for ProQuad<\/strong>2<\/sup><\/p>\n\n\n\n\n\n
CPT code<\/strong><\/td>
Product code<\/strong><\/td><\/tr>
90710<\/strong><\/td>
ProQuad\u00ae<\/sup> (Measles, Mumps, Rubella and Varicella Virus Vaccine Live)<\/td><\/tr><\/tbody><\/table>
Product administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each product or toxoid component administered (Do not report with 90471 or 90473)<\/td><\/tr>
+90461<\/strong><\/td>
Product administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional product or toxoid component administered<\/td><\/tr>
90471<\/strong><\/td>
Product administration, one injection of any vaccine that is not accompanied by face-to-face physician or qualified health care professional counseling to the patient\/family (Do not report with 90460 or 90473)<\/td><\/tr>
+90472<\/strong><\/td>
Product administration, each additional injection of any vaccine that is not accompanied by face-to-face physician or qualified health care professional counseling to the patient\/family (Do not report with 90460 or 90473)<\/td><\/tr><\/tbody><\/table>
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There can be only 1 first administration during a given visit.<\/td><\/tr>
CD-10-CM code4<\/sup><\/strong><\/td><\/tr>
Z23<\/strong><\/td><\/tr>
Effective for dates of service on or after October 1, 2024, encounter for immunization.<\/td><\/tr><\/tbody><\/table>
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Remember, plan coding requirements vary<\/strong><\/p>\n\n\n\n
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\nPlan coding requirements may vary, so it is important to check with each plan as to plan-specific requirements. For claim submission procedures regarding government programs (eg, Medicaid), contact the appropriate program representative\n<\/p>\n\n\n
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\nICD-10-CM, International Classification of Diseases and Related Health Problems, Tenth Revision, Clinical Modification.\n<\/p>\n\n\n
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CPT, Current Procedural Terminology. CPT is a registered trademark of the American Medical Association.<\/p>\n\n\n\n
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See dosing and administration for ProQuad<\/strong><\/h2>
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