Wiki Need help coding Immunizations

[andrea_lozano]

If a CPC can answer this question. It will be very helpul and appreciated.

When giving Immunizations to a child how should the visit be coded as a regular well visit (99381-99395) or a regular E/M service (99201-99215) utilizong the ICD9 codes need for vaccines?

 

[dmaec]

it depends...why is the child coming in? is it for the "check up" and vaccinations or are they coming in because of a a problem, (sore throat, ear pain, etc),...and, oh - while here they'll get their vaccinations updated...????

it could be either/or - depends on the intent of the visit and supporting documentation.

if it's for vaccinations only - and they only see the nurse for a shot, and it's planned, they know their coming in and for what shots they'll be getting - that's all we code is the "shot and admin".. no office visit.

other opinions??.....

 

[mitchellde]

Donna is correct, what is the reason for the encounter, if it is to receive imunizations the code only the administration of imunization codes on office visit.

 

[jeevapt_09]

immunization

Hi please check the following egs,
for new patient well visit:99283 - 25 - V20.2
90471 - appropriate vaccine icd code
for est pt well visit:99293 - 25 - v20.2
90471 - appropriate vaccine icd code
for new pt with sore throat 99203 - 25 - 462
90471 - appropriate vaccine icd code
for est pt 99213 - 25 - 462
90471 - appropriate vaccine icd code

after u check please reply me

 

[S Avara CPC]

You should only bill the well patient visit if the documentation include all the requirements of a comprehensive preventive medicine exam and if the patient has no complaints. If an illness is discovered during the provision of the preventive exam, and E/M should be coded separately appending a modifier 25. Also, don't forget to bill the administration for your vaccines!