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Z7189 or Z23?

  1. Default Z7189 or Z23?
    Medical Coding Books
    I had a question:

    If Dr. gave paitent Twinrix (Hep A & B) vaccine and or Tdap and used Z7189 (other specified counseling) shouldn't I use the Z23 (encounter for immunization) code? Any information would be greatly appreciated.

    Thank You!

  2. Default Z23 for vaccination
    Good Morning we use Z23 for vaccinations

  3. Default
    Thank you

  4. Default
    Quote Originally Posted by Magdael View Post
    Good Morning we use Z23 for vaccinations

    I am not sure why my Dr. started using the Z7189

  5. #5
    Default
    Quote Originally Posted by elizabethcaste View Post
    I am not sure why my Dr. started using the Z7189
    Physician is probably thinking of vaccine counseling which is typically a standard of care when it comes to vaccines for children. Is is however not the reason the patient presented which is why it's Z23 is the appropriate diagnosis.
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