Results 1 to 2 of 2

Doctors Giving Shots

  1. Question Doctors Giving Shots
    Medical Coding Books
    Hi everyone,

    I am having a problem getting paid on our visits that are shots only. Since our docs are the only ones that give shots and they do a quickie exam before giving them to make sure the child is healthy enough I bill a 99212 along with whatever immunization it is. I don't use the admin code because I was taught that you can only bill one or the other (either the 99212 or the admin) but not both.

    Two things are happening. Either they deny the 99212 totally and only pay the shot or they kick the 99212 over to the pt and consider it a well visit since a v code is used and there is no sick dx. But it's not a well visit either.

    What am I doing wrong here?

    Thanks in advance and I look forward to getting to know everyone.


  2. #2
    Smile Doctors Giving Shots
    You have to use an admin code for each immun that you do.....To use 99212 , vacc, and admin code IS THE CORRECT WAY TO BILL....

    DX's -- (example) V05.3,V05.9
    CPT's -- (example) 99212(1,2), 90633(1), 90471(2)
    (the dx code it is related to)

    Yes, sometime it is denied (5%). But if so, review the medical records for that pt and see if patient was seen for any other problems on that day; resubmit clm w/add'l primary dx code

    TRY THIS....

Similar Threads

  1. Replies: 2
    Last Post: 06-23-2015, 08:50 AM
  2. Giving up??
    By in forum Employment General Discussion
    Replies: 5
    Last Post: 01-17-2012, 12:59 PM
  3. Not giving up yet, still very determine.
    By in forum Employment General Discussion
    Replies: 10
    Last Post: 12-02-2011, 06:56 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.