Results 1 to 5 of 5

Anyone billing a nurse visit with a flu vaccine

  1. #1
    Location
    Mooresville, NC
    Posts
    32
    Default Anyone billing a nurse visit with a flu vaccine
    Exam Training Packages
    I'm wondering if anyone is billing (and getting paid) a nurse visit (99201) for patients receiving the flu vaccine but not seeing the doctor?
    --
    Carol Rosol, CPC
    Mooresville, NC

  2. #2
    Location
    Twin Falls, ID
    Posts
    41
    Default nurse visit with flu vaccine
    Nope we are not allowed to do that for any vaccination, or injection. I work for Mayo-health system and that is their policy.

  3. #3
    Location
    Evansville, Indiana
    Posts
    1
    Default nurse visit with flu vaccine
    I just sat in on a webinar sponsored by our state medical association and this very situation came up. She told us that unless the nurse has significant documentation that she educated the patient on the signs/symptoms of the flu as well as the side-effects of the shot and noted some vitals on the patient or if the nurse addressed something else with some detail in addition to the shot that we could not bill a nurse visit

  4. #4
    Default Nurse visit with flu administration visit
    CCI Version 15.1 indicates that a "Nurse Visit" (99201, 99211) is not allowed with Flu Admin codes
    (90471, or 90473). There are no circumstances under which a modifier would be appropriate. Hope this helps.
    Last edited by dlk; 10-29-2009 at 12:50 PM.

  5. #5
    Location
    Columbia, MO
    Posts
    12,570
    Default
    First of all a 99201 can NEVER be used for a nurse only encounter. These visits must follow incident -to definition which means the physician has already seen the patient. Second you may not charge a 99211 for the patient to come in for an injection of any kind there are admin for all of these and that is the code you may charge. You know why the patient is there and there is no additional work performed other than the flu shot, vitals and nurse supervision are all components of the administration codes.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Billing for half dosage of flu vaccine
    By dovejsd in forum Internal Medicine
    Replies: 2
    Last Post: 10-25-2013, 08:19 AM
  2. Billing for Flu vaccine CPT codes?
    By Daveokad in forum Billing/Reimbursement
    Replies: 6
    Last Post: 10-09-2012, 11:06 AM
  3. Billing flu Vaccine for medicare?
    By CLBLUE in forum Auditing General Discussion
    Replies: 2
    Last Post: 12-05-2011, 11:27 PM
  4. billing of flu vaccine
    By mrolf in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-02-2010, 11:47 AM
  5. Charging Flu Shot And Nurse Visit
    By DHARRIS in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-10-2007, 06:35 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?

Login

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.