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-25

  1. #1
    Location
    Nashville, TN
    Posts
    64
    Default -25
    Medical Coding Books
    Could someone please verify with me the use of -25 with injections or immunization when a patient comes in for an office visit for nail in the foot and in the process the physician would have to give them a tetanus shot. whould this be -25 because the shot is not the reason for the visit but a separate service or would this be looked at as a treatment option and not require a -25

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    You would code your E/M, the vaccine admin code 90471 and the vaccine itself (depending on which product you use). You should not need mod -25 BUT some insurance carriers will require it anyway.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default
    I agree, we don't use -25 for vaccine shots. But we do use it for other shots that we use a 96372 with.

    Jessica Harrell CPC

  4. #4
    Default
    Quote Originally Posted by Sharae View Post
    Could someone please verify with me the use of -25 with injections or immunization when a patient comes in for an office visit for nail in the foot and in the process the physician would have to give them a tetanus shot. whould this be -25 because the shot is not the reason for the visit but a separate service or would this be looked at as a treatment option and not require a -25
    What I have done for this situation is called up my carriers or went to their website to get their "guidelines" and put it in a word document or excel so you have it at your fingertips... in general alot of carriers don't require it but then you have those few that do...

    Good Luck
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

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