• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Flu vaccine diagnosis

salybe

Contributor
Messages
10
Location
Tomball, TX
Best answers
0
Our providers are giving the flu shot to patients that are diabetic or have heart disease. My question is would I code the diabetes first and then the code V04.81 or the other way around. If anyone has any supporting documentation that would be great. Thanks.

Sarah
 

salybe

Contributor
Messages
10
Location
Tomball, TX
Best answers
0
The patient's that are receiving the flu vaccine have commercial insurance. The provider is having these patient's receive the flu shot since they have diabetes and are at a higher risk for receiving the flu. So I am wondering for the actual injection charge would I code the diabetes first since this is the reason why the provider is having the patient receive the flu injection or would I still code V04.81 as the primary diagnosis for the injection.
 

lphillips

Guru
Messages
108
Location
Anchorage, AK
Best answers
0
At our clinic if the patient is only receiving a flu shot - no office visit - we code V04.81 and have no problem getting paid. Doesn't matter if they are high risk or not. If the doctor see the patient in regards to their diabetes and it is decided to give the patient a flu shot at that time then you of course would have the additional dx listed first followed by the V04.81.

Hope this helps!!!
 
Top