Wiki LEVEL IV OFFICE Visit requiring HEP A Vaccination

[kzaccone]

How would you code the above scenario in a PCP office. Does it need Modifier -25 with the 99214 CPT?

I know it would be:
99214
90632
Plus the code for the Administartion

Is there a differnece between medicare and regular insurance?

 

[Lynda Wetter]

If a significantly separately identifiable Evaluation and Management (E/M) service (eg, office or other outpatient services, preventive medicine services) is performed, the appropriate E/M service code should be reported in addition to the vaccine and toxoid administration codes.

PAGE 479 CPT BOTTOM PARAGRAPH
hope this helps!