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Thread: Em, procrit injection and flu shot

  1. #1

    Default Em, procrit injection and flu shot

    AAPC: Back to School
    I need advise as to how to bill for an office visit, procrit injection and influenza injection on same day of service. I used a 25 modifier for the office visit and got payment but I am not getting payment for administration of flu shot. Denial is stating that "immunization administration and therapeutic injection not allowed same day as E/M. Any suggestions would be appreciated.

  2. #2
    Join Date
    Apr 2007


    What codes did you use?
    Teresa Collins, CPC

  3. #3


    For office visit dx code 5854 for cpt 99214/25
    For procrit injection dx code 28521/5854 for cpt J0885/EC
    For administration dx 25821/5854 for cpt 96372
    For influenza injection dx V0481 for cpt 90658
    For administration dx V0481 for cpt 90471 (NC Mediciad requirement -not G0008)

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