If it's a 2011 DOS, I'd use caution when reporting a separate E/M, since CPT's 90460 and 90461 are intended for use for patients under 18 receiving vaccines with physician counseling. Your history and exam documented may not have enough elements covered to support 99394 without taking the counseling into consideration. You need to go above and beyond the usual pre- and post-service work associated with the vaccine admin's definition to report an E/M code in addition to a physician's service.
In either situation, if you decide to report 99394 for the encounter, it shouldn't require a modifier to keep from bundling to your vaccine admin codes; however, some payer claims edit systems will still deny the charge without one (just because they can). Even though the modifier isn't technically required per CPT guidelines, if you encounter a denial for bundling and are unsuccessful in having the claim reprocessed, you may have to submit a corrected claim with a 25 modifier on 99394 to get it past the edit software with a few insurers. Hope that helps!
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