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 diagnosis and administration codes associated with immunization using GSK products. Administration codes will vary based on the service provided. The diagnosis codes may also vary based on the nature of the medical visit and the patient's health status.
The ICD-9-CM code set used to report medical diagnoses was replaced by ICD-10-CM code set on October 1, 2015. The change to ICD-10 will affect everyone covered by the Health Insurance Portability Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims. Claims for services provided on or after the compliance date should be submitted with ICD-10 diagnosis codes. The change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.
Please refer to your most up-to-date Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) manuals for appropriate coding.
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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.