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Coding for HAVRIX
Here you’ll find vaccine product codes and some common administration codes associated with immunization using HAVRIX. 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.
Description: HAVRIX is available in prefilled disposable Tip-Lok syringes (packaged without needles) (Preservative Free Formulation).1
Pediatric/adolescent dose (persons 12 months through 18 years of age): 720 EL.U./0.5 mL1
Recommended dosing: A single 0.5-mL dose and a 0.5-mL booster dose administered between 6 and 12 months later1
NDCs† (Syringe in package of 10) 720 EL.U./0.5 mL Pediatric/Adolescent Dose |
|
|---|---|
Syringe |
NDC 58160-825-43 |
Outer Carton |
NDC 58160-825-52 |
Tip
To promote accuracy, always consult the most current Prescribing Information or product packaging when documenting NDCs.
HAVRIX CPT Code – Immunization Administration Codes5‡
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.6
- *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 2024 Professional Edition, Current Procedural Terminology (CPT), 2023.
References:
- Prescribing Information for HAVRIX.
- 2024 ICD-10-CM official guidelines for coding and reporting. Centers for Medicare and Medicaid Services. Updated April 1, 2024. Accessed May 30, 2024. https://www.cms.gov/files/document/fy-2024-icd-10-cm-coding-guidelines-updated-02/01/2024.pdf
- Immunization information systems (IIS): HL7 standard code set, MVX – manufacturers of vaccines. Centers for Disease Control and Prevention. Accessed May 30, 2024. https://www2a.cdc.gov/vaccines/IIS/IISStandards/vaccines.asp?rpt=mvx
- Immunization information systems (IIS): Current HL7 standard code set, CVX – vaccines administered. Centers for Disease Control and Prevention. Accessed May 30, 2024. https://www2a.cdc.gov/vaccines/IIS/IISStandards/downloads/cvx_list.pdf
- CPT category I new vaccine codes (including incorporation of ACIP abbreviations listing) long descriptors. American Medical Association. Updated May 23, 2024. Accessed May 30, 2024. https://www.ama-assn.org/system/files/vaccine-long-descriptors.pdf
- Bright futures coding for pediatric preventive care 2022. American Academy of Pediatrics. Accessed May 30, 2024. https://downloads.aap.org/AAP/PDF/Coding%20Preventive%20Care.pdf
- Office injectable guidelines, National Drug Code (NDC) pricing and filing tips. Humana Military. Accessed May 30, 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.
Description: HAVRIX is available in prefilled disposable Tip-Lok syringes (packaged without needles) (Preservative Free Formulation).1
Adult dose (persons 19 years of age and older): 1440 EL.U./mL1
Recommended dosing: A single 1-mL dose and a 1-mL booster dose administered between 6 and 12 months later1
NDCs† (Syringe in package of 10) 1440 EL.U./mL Adult Dose |
|
|---|---|
Syringe |
NDC 58160-826-43 |
Outer Carton |
NDC 58160-826-52 |
Tip
To promote accuracy, always consult the most current Prescribing Information or product packaging when documenting NDCs.
HAVRIX CPT Code – Immunization Administration Codes5‡
- *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.6 For example, when reporting NDC 58160-820-11 to TRICARE, it becomes NDC 58160-0820-11.
- ‡Adapted from the American Medical Association, CPT 2024 Professional Edition, Current Procedural Terminology (CPT), 2023.
References:
- Prescribing Information for HAVRIX.
- 2024 ICD-10-CM official guidelines for coding and reporting. Centers for Medicare and Medicaid Services. Updated April 1, 2024. Accessed May 30, 2024. https://www.cms.gov/files/document/fy-2024-icd-10-cm-coding-guidelines-updated-02/01/2024.pdf
- Immunization information systems (IIS): HL7 standard code set, MVX – manufacturers of vaccines. Centers for Disease Control and Prevention. Accessed May 30, 2024. https://www2a.cdc.gov/vaccines/IIS/IISStandards/vaccines.asp?rpt=mvx
- Immunization information systems (IIS): Current HL7 standard code set, CVX – vaccines administered. Centers for Disease Control and Prevention. Accessed May 30, 2024. https://www2a.cdc.gov/vaccines/IIS/IISStandards/downloads/cvx_list.pdf
- CPT category I new vaccine codes (including incorporation of ACIP abbreviations listing) long descriptors. American Medical Association. Updated May 23, 2024. Accessed May 30, 2024. https://www.ama-assn.org/system/files/vaccine-long-descriptors.pdf
- Office injectable guidelines, National Drug Code (NDC) pricing and filing tips. Humana Military. Accessed May 30, 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.
