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Thread: E & M and Immunization and Modifier 25

  1. #1
    Join Date
    Apr 2007

    Question E & M and Immunization and Modifier 25

    AAPC: Back to School
    I have a question regarding the usage of an E & M code and immunization administration (90471, 90472, G0001). If a patient comes in for a follow visit and we give the patient a flu vaccine, should we add a modifier 25 to the E & M Code. We are now noticing that the immunization administration is getting paid and the E & M is not getting paid. What should I do? I am so new at the whole Medicare thing. I worked 8 years in pediatrics.
    [I]Elizabeth Comma-Watson, CPC
    Billing/Coding Specialist
    Greensboro, NC 27455-2601

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Yes you need a 25 modifier on the OV with any injection administration.

    Debra A. Mitchell, MSPH, CPC-H

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