Wiki E & M and Immunization and Modifier 25

[encomma-watson]

I have a question regarding the usage of an E & M code and immunization administration (90471, 90472, G0001). If a patient comes in for a follow visit and we give the patient a flu vaccine, should we add a modifier 25 to the E & M Code. We are now noticing that the immunization administration is getting paid and the E & M is not getting paid. What should I do? I am so new at the whole Medicare thing. I worked 8 years in pediatrics.

 

[mitchellde]

Yes you need a 25 modifier on the OV with any injection administration.