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Wiki E/M code with immunizations

KarlaJ123

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When a patient comes back to the office for a second hep B inj and the physician checks heart/lungs etc can an E/M code be attached to the immunization.
 
Is all he doing is a quick check of heart/lungs pulse? Or is there any time spent on other issues? What kind of documentation is there? IF there is no documentation and it is just a quick check of vitals I would say no.
 
James,

Depending on what is documented at the time of service. Is there something that the doctor is looking for or is there a problem why he wanted to check the heart and lungs of the patient? If there is a problem focused reason, you can charge a office E/M with the immunization but you would have to use a modifier with the E/M and the diagnosis and then with the immunization only use the dx for the inj.
Good luck. I hope this helped.
 
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