• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Wellness visit coding with immunization administration codes.

Create Wiki
J

jayne.mischke

New
Messages
3
Location
Westbrook, MN
Best answers
0
I am sure this topic has been covered before, but I would like some verification: When we are billing for a wellness visit, 99391, 99392, 99393, etc. and there are also immunizations that are administered, can we charge for those administration fees (90471, 90472, 90474). If visit is for a wellness, along with a flu vaccine, the coding would be as follows:
99393-25, 90700, 90471 (This is not pertaining to age or new/vs/established.)

Thanks!
Jayne Mischke
 
Confused

jayne.mischke said:
I am sure this topic has been covered before, but I would like some verification: When we are billing for a wellness visit, 99391, 99392, 99393, etc. and there are also immunizations that are administered, can we charge for those administration fees (90471, 90472, 90474). If visit is for a wellness, along with a flu vaccine, the coding would be as follows:
99393-25, 90700, 90471 (This is not pertaining to age or new/vs/established.)

Thanks!
Jayne Mischke
Click to expand...

I'm confused by your example here. 99393 is for age 5-11/estab but you're saying this is not pertaining to age or new vs established. The age of the patient dictates the admin code(s). Also, 90700 is not flu vaccine; it's DTaP admin to younger than 7. So I'm not sure if my answer will help you.

At any rate.. the code description for the wellness visits outlines what is included and does NOT mention vaccinations as included in this code. I would code (and regularly do code) the 99393-25, 90700, 90460 X 1, and 90461 X 2.

Hope this helps.
 
BobbiRebel said:
Confused



I'm confused by your example here. 99393 is for age 5-11/estab but you're saying this is not pertaining to age or new vs established. The age of the patient dictates the admin code(s). Also, 90700 is not flu vaccine; it's DTaP admin to younger than 7. So I'm not sure if my answer will help you.

At any rate.. the code description for the wellness visits outlines what is included and does NOT mention vaccinations as included in this code. I would code (and regularly do code) the 99393-25, 90700, 90460 X 1, and 90461 X 2.

Hope this helps.
Click to expand...

What if there was no counseling documented for your vaccine admin? That code (90471) is not age specific.
 
You must log in or register to reply here.
Top