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Vaccine Management Tips
New Counseling Codes
As highlighted in our December Vaccine Vitals, new time‑based CPT codes for immunization counseling went into effect January 1, 2026. These codes allow practices to capture and bill for counseling provided when a vaccine is not administered on the same date of service.
Practices should document time, topics discussed, and reasons for declined/ delayed vaccines and confirm with payers that these codes are added to fee schedules.
For more details watch this video.
Payer Intel: Know Your Vaccine Payment Rates
Understanding how your practice’s vaccine payment rates compare across your state is essential for protecting your bottom line. The Payer Intel tool from the Pediatric Support Team provides an easy, comprehensive way to review and compare payment rates for key pediatric vaccine codes. This resource helps practices identify gaps, benchmark reimbursement, and better prepare for payer conversations.
Explore the resource here.
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