AAPC - Back to school
Results 1 to 4 of 4

Thread: Billing for 99211

  1. #1

    Default Billing for 99211

    AAPC: Back to School
    We recently began billing for another Doctor's office, they are wanting to put a 99211 on all of there Flu shot charges. We don't know if this is acceptable to bill this, without the nurse consulting the Doctor. If anyone could give us some guidance, it would be appreciated. Thank you Kristi

  2. #2
    Join Date
    Apr 2007


    It is my understanding that if they were only coming in for the flu shot that you could only bill the vaccine plus the administration. Please let me know if I am wrong about this.

  3. #3
    Join Date
    Apr 2007
    Evansville Indiana

    Default 99211

    You are exactly right.

  4. #4
    Join Date
    Apr 2007
    Stuart, Florida


    If the patient is coming in for the purpose of getting a flu shot, it should be coded as follows; V04.81, 90471, 90658.

    Quote Originally Posted by RebeccaWoodward* View Post
    1 Billing for Additional Services

    If a physician sees a beneficiary for the sole purpose of administering the influenza virus vaccine, the pneumococcal vaccine, and/or the hepatitis B vaccine, they may not routinely bill for an office visit. However, if the beneficiary actually receives other services constituting an “office visit” level of service, the physician may bill for a visit in addition to the vaccines and their administration, and Medicare will pay for the visit in addition to the vaccines and their administration if it is reasonable and medically necessary.


    Page 12
    Vanessa Mier, CPC

Similar Threads

  1. Billing 99211
    By SLKappa in forum Billing/Reimbursement
    Replies: 3
    Last Post: 03-05-2015, 12:33 PM
  2. billing 99211
    By apena in forum Billing/Reimbursement
    Replies: 2
    Last Post: 07-19-2014, 03:13 PM
  3. Billing a 99211 for an MA
    By maclou in forum E/M
    Replies: 1
    Last Post: 12-13-2012, 03:38 PM
  4. Billing A 99211
    By bparker315 in forum E/M
    Replies: 1
    Last Post: 10-16-2012, 06:16 PM
  5. 99211 and PT billing
    By bquestell in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-04-2011, 01:32 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.