Coding For Flu Vaccines

CC5657

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OK, this is my 1st time coding for Flu Vaccines. Am a little confused:confused: If a patient comes in for office visit & receives flu shot, do you need to code the V04.81 or can you just use the diagnosis codes the doctor has on the superbill?? I know that you use the V04.81 if patient comes into office for flu shot only.
 
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Wouldn't you also use CPT 90655-90660 depending on the age and type of vaccine given? Use an E&M with a seperate and/or distinct diagnosis for any other problems.
 
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