• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Em, procrit injection and flu shot

nluppi

Guest
Messages
5
Best answers
0
I need advise as to how to bill for an office visit, procrit injection and influenza injection on same day of service. I used a 25 modifier for the office visit and got payment but I am not getting payment for administration of flu shot. Denial is stating that "immunization administration and therapeutic injection not allowed same day as E/M. Any suggestions would be appreciated. :)
 
For office visit dx code 5854 for cpt 99214/25
For procrit injection dx code 28521/5854 for cpt J0885/EC
For administration dx 25821/5854 for cpt 96372
For influenza injection dx V0481 for cpt 90658
For administration dx V0481 for cpt 90471 (NC Mediciad requirement -not G0008)
 
Top