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Consultation RE: Travel meds / vaccines

  1. #1
    Default Consultation RE: Travel meds / vaccines
    Medical Coding Books
    I have an 18 yr old pt who met with our Dr. to discuss an upcoming trip to Africa and what Medications / Vaccines he may need to prepare for the trip. This is an established patient and the consult was initiated by the patient. I am thinking 99213 based on time but need help with the diagnosis code.
    Barbara Haskins CPC

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    We use 99401-99402 for these kind of visits, as it is really a preventive medicine counseling visit. We use ICD-9 V65.49. No, insurance doesn't pay but they won't pay a 99213 with that ICD-9, either...

  3. Default Travel Consults
    Can a nurse perform and bill for travel consult codes 99401-99406 and bill these under the provider's number. In the CPT manual it states physician or other qualified healthcare profesional.

    Thank you in advance.

  4. #4
    Default
    We do have nurses perform this service as do a lot of other travel clinics nationally that we've talked to. Medicare doesn't really take a stand on it because it's not a service they cover. The visits are performed "incident to" and there is always a physician in the office at the time.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  5. #5
    Default
    Quote Originally Posted by bhaskins1 View Post
    I have an 18 yr old pt who met with our Dr. to discuss an upcoming trip to Africa and what Medications / Vaccines he may need to prepare for the trip. This is an established patient and the consult was initiated by the patient. I am thinking 99213 based on time but need help with the diagnosis code.
    If there is an exam involved then we use V70.3 for exam and vaccination we use V07.8 with E/M 9921X

  6. Default
    Quote Originally Posted by kumeena View Post
    If there is an exam involved then we use V70.3 for exam and vaccination we use V07.8 with E/M 9921X
    V07.8 is a prophylactic code for estrogen receptors and levels, don't think that would work.

  7. Default
    Quote Originally Posted by dedik@n View Post
    V07.8 is a prophylactic code for estrogen receptors and levels, don't think that would work.
    It is acutally AFTER the estrogen section. We use V07.8 at our office for travel pre-medication also. Not always covered but we have had some luck.

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