Consultation RE: Travel meds / vaccines

bhaskins1

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I have an 18 yr old pt who met with our Dr. to discuss an upcoming trip to Africa and what Medications / Vaccines he may need to prepare for the trip. This is an established patient and the consult was initiated by the patient. I am thinking 99213 based on time but need help with the diagnosis code.
 

Lisa Bledsoe

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Greeley, Colorado
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We use 99401-99402 for these kind of visits, as it is really a preventive medicine counseling visit. We use ICD-9 V65.49. No, insurance doesn't pay but they won't pay a 99213 with that ICD-9, either...
 

lsterna

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Travel Consults

Can a nurse perform and bill for travel consult codes 99401-99406 and bill these under the provider's number. In the CPT manual it states physician or other qualified healthcare profesional.

Thank you in advance.
 

pamtienter

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NAB Member
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Mound, MN
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We do have nurses perform this service as do a lot of other travel clinics nationally that we've talked to. Medicare doesn't really take a stand on it because it's not a service they cover. The visits are performed "incident to" and there is always a physician in the office at the time.
 

kumeena

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NYMAC
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I have an 18 yr old pt who met with our Dr. to discuss an upcoming trip to Africa and what Medications / Vaccines he may need to prepare for the trip. This is an established patient and the consult was initiated by the patient. I am thinking 99213 based on time but need help with the diagnosis code.
If there is an exam involved then we use V70.3 for exam and vaccination we use V07.8 with E/M 9921X
 

chaiadawn

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V07.8 is a prophylactic code for estrogen receptors and levels, don't think that would work.
It is acutally AFTER the estrogen section. We use V07.8 at our office for travel pre-medication also. Not always covered but we have had some luck.
 
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