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Immunization Counseling - If a physician provides

  1. #1
    Default Immunization Counseling - If a physician provides
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    If a physician provides immunization counseling, but a parent refuses the recommended immunizations for their child, is there an appropriate CPT code for this situation?


  2. #2
    Ft. Worth, Texas
    You can try DX V64.05 as the DX for 90465 and the CPT code for the vaccine and put a $0.00 charge for the vaccine and see if they pay. Make sure the counseling was documented in the chart.
    Last edited by Biller385; 10-25-2010 at 11:16 AM. Reason: Need to add more info

  3. #3
    Overland Park, KS
    For the ICD-9-CM codes, I would report V65.49 for the counseling and V64.05 for the vaccine not carried out because of caregiver refusal. Code V64.05 is a secondary code only. I would not report 90465. This is for vaccine administration and you did not administer the vaccine. If the visit was strictly for the vaccine and counseling, I would report a code from the preventative counseling series (99401-99404).
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

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