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Coding for HIBERIX

Here you’ll find vaccine product codes and some common administration codes associated with immunization using HIBERIX. Select another vaccine here.

Vaccine administration codes are dependent on the services provided. Please refer to the latest edition of Current Procedural Terminology (CPT) for appropriate administration codes, and the latest edition of International Classification of Diseases (ICD) manual for appropriate diagnosis codes.

HIBERIX is supplied in 2 presentations:

  • Vial and vial presentation: vial of Lyophilized Antigen Component and vial of Sterile Saline Diluent (packaged without syringes or needles).1
  • Vial and prefilled syringe (PFS) presentation: vial of Lyophilized Antigen Component and prefilled, ungraduated TIP-LOK syringes (Luer Lock syringes) of Sterile Saline Diluent (packaged without needles).1

Dosage:

  • Vial and vial presentation: a single dose after reconstitution is 0.5 mL.1
  • Vial and prefilled syringe presentation: a single dose after reconstitution is approximately 0.5 mL.1

Coding for HIBERIX

CPT Code

90648

ICD-10-CM Code2*

Z23

MVX Code3 SKB
CVX Code4 48

Vial and PFS NDCs† (Supplied as an outer package of 10 doses)

Outer Carton

 

NDC 58160-726-15 

 

  • 10 single-dose vials of Lyophilized Antigen Component

NDC 58160-816-03

  • 10 single-dose, prefilled syringes of Saline Diluent

NDC 58160-817-02

Vial and vial NDCs† (Supplied as an outer package of 10 doses)

Outer Carton

 

NDC 58160-818-11 

 

  • Package of 10 Vials of Lyophilized Antigen Component

NDC 58160-816-05

Single Vial of Lyophilized Antigen Component

 

NDC 58160-816-01

 

  • Package of 10 Vials of Saline Diluent

NDC 58160-817-05

Single Vial of Saline Diluent

NDC 58160-817-01

Tip

Tip

To promote accuracy, always consult the most current Prescribing Information or product packaging when documenting NDCs.

HIBERIX CPT Code – Immunization Administration Codes5

Tip

Tip

If reporting multiple vaccine administrations given to a patient through age 18 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

Diagnosis Codes

Z23 is the ICD-10-CM code used when reporting an encounter for immunization for all vaccines given within the encounter. In some instances, additional ICD-10-CM coding may be needed. 

See all code types

GSK Codes Summary Sheet

Get a PDF of the most current CPT, CVX, MVX, and NDC codes for GSK vaccines.

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Questions?

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  •   *ICD-10-CM code Z23, Encounter for Immunization, is reported for all vaccines given within an encounter; additional ICD-10-CM coding may be needed.2
  •   Note that some payers require an 11-digit NDC, which involves adding a "0" immediately after the first hyphen in each GSK NDC.7 For example, when reporting NDC 58160-820-11 to TRICARE, it becomes NDC 58160-0820-11.
  •    Adapted from the American Medical Association, CPT 2023 Professional Edition, Current Procedural Terminology (CPT), 2023.

References:

  1. Prescribing Information for HIBERIX.
  2. 2023 ICD-10-CM official guidelines for coding and reporting. Centers for Medicare and Medicaid Services. Updated April 1, 2023. Accessed February 7, 2024. https://www.cms.gov/files/document/fy-2023-icd-10-cm-coding-guidelines-updated-01/11/2023.pdf
  3. Immunization information systems (IIS): HL7 standard code set, MVX – manufacturers of vaccines. Centers for Disease Control and Prevention. Accessed February 7, 2024. https://www2a.cdc.gov/vaccines/IIS/IISStandards/vaccines.asp?rpt=mvx
  4. Immunization information systems (IIS): Current HL7 standard code set, CVX – vaccines administered. Centers for Disease Control and Prevention. Accessed February 7, 2024. https://www2a.cdc.gov/vaccines/IIS/IISStandards/downloads/cvx_list.pdf
  5. CPT category I new vaccine codes (including incorporation of ACIP abbreviations listing) long descriptors. American Medical Association. Updated December 28, 2023. Accessed February 7, 2024. https://www.ama-assn.org/system/files/vaccine-long-descriptors.pdf
  6. Bright futures coding for pediatric preventive care 2022. American Academy of Pediatrics. Accessed February 7, 2024. https://downloads.aap.org/AAP/PDF/Coding%20Preventive%20Care.pdf
  7. Office injectable guidelines, National Drug Code (NDC) pricing and filing tips. Humana Military. Accessed February 7, 2024. https://www.humanamilitary.com/provider/claims/injectables#nucleustabs-ee21c6fea3-item-098209c56a-tab

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.