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Wiki Immunization Billing

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insight

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Why is it that sometimes we get paid for the well visit when we perform vaccines and sometimes we don't?

Child comes in for a well baby visit and gets a Dtap Vaccine.
Well child visit new patient ex: 99392 with diagnosis v20.2
Dtap 90700 with diagnosis V06.1
Immunization admin 90460 & 90461 x 2 with diagnosis V06.1

What am i doing wrong? Should I be billing with a modifier?
What if the patient comes in with another issue and also has a vaccine?
Can I bill E/M with vaccine codes?

Thanks!
 
When you have an E/M with an injection/administration you need a modifier 25 on the E/M.
The E/M can be for a well baby visit, or a problem type visit.
 
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