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Immunization Billing Resources for Private Clinics

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Vaccine Eligibility and Billing Codes
ICD-10 Transition
DMAP/Medicare Resources
Other Billing Resources
Cost Calculator: Vaccine Administration Fees and Inventory

Vaccine Eligibility and Billing Codes


ICD-10 Transition

All current CPT-9 codes will move to a single ICD-10 code (Z23).

  • ICD-10-CM Official Guidelines for Coding and Reporting, 2014 PDF file
    The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a companion document to the official version of the ICD-10-CM, as published on the NCHS website.

DMAP/Medicare Resources


Other Billing Resources


Cost Calculators: Vaccine Administation Fees and Inventory

  • Vaccine Administration Fee Calculator (Excel)
    Use this spreadsheet to determine the administration fee that reflects the true cost of immunization services provided by your agency. Note: this resource was developed by the Arizona Chapter of the American Academy of Pediatrics for private clinics but can be adjusted for public clinics.
  • Vaccine Inventory Value Calculator (Excel)
    This resource can be used to calculate the dollar value of your inventory or to determine the value of all vaccines provided by your agency over a given period of time. This information can be useful when reporting agency services to administrators, county commissioners, or in community health reports.

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