• 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.
  • We’re introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Influenza/Pnuemonvax Coding Question

DKGuthrie13

Guest
Messages
7
Best answers
0
Medicare patient comes in for 99213... patient gets flu shot and pneumonia vaccine during visit... how do you code this... what modifiers would I use, if any... Do I charge for one administration charge or both...
 

nc_coder

Expert
Messages
297
Best answers
0
flu/pneumovax

You would do 2 admin codes (G0008 and G0009). However, the ICD9 code is the same for both vaccines V06.6. So your coding should look like this:
Q2038 (regular flu vaccine) or 90662 (high dose) dx code V06.6
90732 (pneumovax) dx code V06.6
G0008 (admin flu) dx code V06.6
G0009 (admin pneumonia) dx code V06.6

reference : http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/qr_immun_bill.pdf
 
Top