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vaccinations & cpx or well check up

  1. Question vaccinations & cpx or well check up
    Medical Coding Books
    Hi Everyone,

    Can modifier 25 be used when a pt comes in for cpx or well check up and
    vaccination was given or injection was given. Can you apply mod 25 to the prevenative code?

    90471-administration of inj

    can this be done like this

    thank you

  2. #2

    It shouldn't be required. Are you getting denials?
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  3. #3
    Greeley, Colorado
    It shouldn't be required, but we have the same issue - if we don't append modifier -25 for most of the insurance carriers, then either the preventive code or the immunization administration is denied. It is unfortunate that insurance plans do not have to follow CPT guidelines.

  4. Question mod 25 and cpx & immun
    I haven't tried it yet, I did read it in one of the coding edge issue but I didn't
    feel the infor was definit enough. So that's why I am asking if anyone knows
    if that it is appliable.



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