Standalone Immunization Counseling

Pediatricians play a vital role in guiding families through immunization counseling, which is essential for nurturing healthy children. The American Academy of Pediatrics (AAP) consistently advocates for payment for pediatricians and pediatric specialists for the time they spend educating families about the risks and benefits of following the AAP-recommended immunization schedule. 

It's important to acknowledge that patients, parents, and caregivers may decline immunizations for a variety of reasons, including hesitancy, cultural beliefs, or specific health circumstances that may require postponement. Unfortunately, until now, payment for this crucial service has been limited due to the absence of specific CPT codes.

Thanks to the dedicated efforts of the Committee on Coding and Nomenclature (COCN) and AAP staff, an exciting change is coming! Starting January 1, 2026, four new codes will be introduced, creating a direct payment pathway. This development will ensure that pediatricians are recognized and paid for their invaluable work in keeping every patient protected from preventable diseases. 

New CPT Codes

For payment, this time must be spent by the physician or a qualified healthcare professional (e.g., NP or PA) due to the clinical training required to provide counseling and the increased need to correct misinformation about immunizations.

Additional coding guidance is available on our factsheet for standalone immunization counseling on the AAP coding and valuation site.

Additional Resources

• Vaccine Financing and Coding
• Child Health Finance and Payment Strategy
• Payment Advocacy by the AAP

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