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As the guideline also tells you that procedure codes are required to identify the types of immunizations given, coding for the encounter, including the correct ICD-10 code sequencing, should look something like this: ICD-10: Z00.129 ( Encounter for routine child health examination without abnormal findings ) Z23 Z71.85 ( Encounter for immunization safety counseling ) CPT : 99391 ( Periodic comprehensive preventive medicine reevaluation and management of an individual including infant (age younger than 1 year) ) 90460 ( Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional

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