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Diagnosis Codes

ICD-10-CM codes are used to report diseases and conditions. These will be needed on the CMS-1500 form.

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Printable Summary Sheet

This PDF provides a summary of CPT codes for GSK vaccines.

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Codes for
GSK Vaccines

This 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.

Click on a product logo below to see the codes related to the product.

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826034R0 October 2017

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.

You are encouraged to report vaccine adverse events to the US Department of Health and Human Services.
Visit www.vaers.hhs.gov to file a report, or call 1-800-822-7967.

To learn more about the
GSK Vaccines Access Program,
click here.
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