Wiki School Based Health Immunizations

Create Wiki
B

BUTCHER129

Contributor
Messages
19
Location
Morehead, KY
Best answers
0
We provide school based health in our area. We will provide immunizations on students that are not up to date and can't get in with their PCP. Our provider does a limited exam, due to not having seen the patient before. Can they bill for an E/M even though the only DX code is Z23? Conflicting information. Please help.
 
You cannot bill an E&M since if there is no chief complaint and you are not treating the patient for any symptom or illness. The limited exam associated with the immunization would not warrant a separate E&M service and would not support a modifier 25 in the situation you're describing.
 
thomas7331 said:
You cannot bill an E&M since if there is no chief complaint and you are not treating the patient for any symptom or illness. The limited exam associated with the immunization would not warrant a separate E&M service and would not support a modifier 25 in the situation you're describing.
Click to expand...
Thank you. Trying to explain this to a provider has been frustrating. I was second guessing myself.
 
You must log in or register to reply here.
Top