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Wiki E/M billed with 90460

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aleigh

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I know there are 100 threads on this already, so apologies in advance.
I am new to pediatric billing, and want to be 100% sure I am understanding correctly.
Child comes in for office visit to discuss cold symptoms, etc. and then they do a flu shot in the same visit. It is appropriate to append a 25 modifier to the 99213 because it should not bundle with the vaccine admin code correct?
What are some examples of when it would not be okay to append a 25 modifier to the E/M visit?

Thank you!!
 
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