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Thread: Flu shot billing???

  1. #1

    Default Flu shot billing???

    AAPC: Back to School
    There is some confusion in the office about billing for the flu shot. Can you bill a nurse visit, the shot and admin fee???

    Or should we only bill the shot and admin fee??

    Please help!!!!

  2. #2


    Shot and Admin fee only.

    If the patient is seen for a separate service [/COLOR]by the MD/ or a nurse, and the documentation supports the billing of an E/M then you could bill- with a mod 25. (Which for a nurse visit would be 99211 - which would need appropriate documentation to meet the guidelines to bill)

    But if the patient comes only for a flu shot, just admin and vaccine.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Internal Medicine
    General Surgery
    Family Medicine

  3. #3


    I work at a Pediatric office and originally we were billing for admin and shot then we were told we could bill for nurse visit, admin, and shot which is what we are currently doing. So now I am completely confused and don't know what we should being doing........

  4. #4
    Join Date
    Apr 2007
    Rome, GA


    Per CCI edits, Code 99211 is a component of Column 1 code 90471 and cannot be billed using any modifier. So if you bill 99211(nurse visit) you cannot bill 90471 (administration). If you bill 90471 you cannot bill 99211.
    Peggy Y, Green, CPC, CPMA, CPC-I, CRC
    "To love what you do and feel that it matters - how could anything be more fun?" Katharine Graham

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