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E/M with vaccines

  1. #1
    Location
    Indianapolis,IN
    Posts
    21
    Question E/M with vaccines
    Medical Coding Books
    I just started working in a new practice and I have a question concerning modifier 25. In my old practice-we added modifier 25 if the patient had an office visit and vaccines. Adding the modifier to the E/M code. In my new practice--they do not do this...does anyone add or Not add the modifier when billing for an office visit and vaccines.
    Thank you for your help!

  2. Default Modifier 25
    I Do Add The Modifier 25 To The E/m Code When A Vaccine Is Administered & I Don't Have A Problem

  3. #3
    Location
    Indianapolis,IN
    Posts
    21
    Smile
    Thank you!!

  4. #4
    Thumbs up 25 on E/M w/ vaccines
    We add a 25 on the E/M code also with our vaccines. Has been working well for us.

  5. #5
    Location
    Milwaukee WI
    Posts
    4,466
    Default Significant, Separately Identifiable E/M
    Please Note: the -25 modifier is used to identify a Significant, Separately Identifiable E/M service.

    That means that if the patient is presenting to the office JUST FOR the vaccine there is no separately identifiable E/M!

    If the patient presents with a complaint, and it's determined that it's appropriate to also give a vaccine at this visit, THEN you have a reason to code an E/M with -25 modifier in addition to the vaccine administration.

    F Tessa Bartels, CPC, CEMC

  6. #6
    Location
    Indianapolis,IN
    Posts
    21
    Default
    In most cases, baby is presenting for well visit-and vaccines are administered.

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