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Reimbursement and Coding Considerations CPT 90460 is reimbursed separately from the vaccine product (e.g., DTaP, HPV, MMR) Use 90461 for each additional component administered in the same visit CPT 90460 is generally covered by Medicare, Medicaid, and commercial payers when age and administration criteria are met Ensure accurate coding of patient age and route of administration Documentation must support counseling and informed consent for preventive care compliance How OptiMantra Supports Pediatric Vaccine Administration OptiMantra’s integrated EMR and practice management platform streamlines documentation, tracking, and billing for immunization services like CPT 90460