Question Dx code for review of immunization records only

[karlam]

What diagnosis should be used when a patient comes in to have immunization records reviewed and a form signed off by a provider? No exam is done.

Thanks!

 

[Cynthia Hughes]

The diagnosis should be the reason that the patient needed the physician to review the immunization history and sign off on a form (e.g., Z02.0, encounter for examination for admission to educational institution). Note that these encounters may not be covered by a health plan due to lack of medical necessity.

Cindy

 

[dmunoz781]

The dx area you should be looking at is that of the administrative reasons, such as that Cynthia Hughes mentioned.