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Thread: Immunizations Only

  1. #1
    Join Date
    Apr 2007

    Default Immunizations Only

    AAPC: Back to School
    I bill for a pediatrician and usually during a childs immunizations a preventitive exam is done along with say 3 immunizations. There is a family that because of their believe of autism, etc only wants one immunization done at a time. So this mother is bringing her child in week after week for one shot at a time. The doctor is wondering if she can bill for an office visit, collect a copay or something to get paid for more than just the immunization. Could someone please give me their recommendation?
    Thank you!

  2. #2


    Please see below, hope this helps.

    Immunization administration
    CPT Assistant, November 1999 Pages: 47-48 Category:
    Related Information
    Immunization Administration for Vaccines/Toxoids

    "If a significant separately identifiable Evaluation and Management 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.

    The notes preceding codes 90471 and 90472 have been revised as well to clarify that preventive medicine services, and other office or outpatient evaluation and management services (including code 99211) performed at the same visit as the administration of the vaccine/toxoid, may be reported separately. For example the office or other outpatient evaluation and management code 99211 may be reported in addition to the administration (90471, 90472) and appropriate vaccine product code (90476-90749), when a nurse under the physician's supervison reviews the patient's chart, takes the child's blood pressure and temperature, provides vaccine information, instructions and consent forms to the parent and prepares the vaccine product prior to the administration of the vaccine."

    CPT Assistant © Copyright 1990–2008 American Medical Association. All Rights Reserved
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  3. #3
    Join Date
    Apr 2007

    Default Thank you

    Thank you very much for the information! It's extremely helpful!!

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