Results 1 to 4 of 4

vaccine counselling

  1. Default vaccine counselling
    Exam Training Packages
    If the doctor counsels about vaccines at a physical and the parents decide to not have the vaccines done, then they schedule a nurse visit to have the vaccines done a week later can I bill the 90460/90461?

    Thanks for any help

    Denise Smith CPC, CEMC

  2. #2
    Default
    Quote Originally Posted by dsmith06351 View Post
    If the doctor counsels about vaccines at a physical and the parents decide to not have the vaccines done, then they schedule a nurse visit to have the vaccines done a week later can I bill the 90460/90461?

    Thanks for any help

    Denise Smith CPC, CEMC
    Denise, in the November 2010 AAP coding newsletter, the AAP advises "if vaccine counseling is performed and the parent or patient refuses vaccines, the time spent in counseling may be reported separately." I assume they mean report that time with the 90460-90461 codes, rather than an E/M service based on counseling time. However, I do not think that many payers will recogize separate vaccine admin codes without corresponding vaccine product codes submitted.

    In your example above, it's probably best from a reimbursement standpoint to just report the admin codes at the return visit.

    Hope this helps,
    Jettman

  3. Default
    Sorry, I don't think that I explained the scenario correctly. What I was wondering is what admin codes would I bill when the patient returned. The 90460/90461 because we counselled at the time of the visit or 90471/90472?

    Thanks

    Denise Smith CPC, CEMC

  4. #4
    Default
    Quote Originally Posted by dsmith06351 View Post
    Sorry, I don't think that I explained the scenario correctly. What I was wondering is what admin codes would I bill when the patient returned. The 90460/90461 because we counselled at the time of the visit or 90471/90472?

    Thanks

    Denise Smith CPC, CEMC
    Thanks for the clarification. If your docs didn't do face-to-face counseling at the second visit, but the vaccines were still given, report 90471/90472.

Similar Threads

  1. Egg donation counselling
    By Katica in forum Compliance General Discussion
    Replies: 0
    Last Post: 07-02-2013, 11:13 AM
  2. vaccine
    By nc_coder in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-14-2012, 07:36 AM
  3. Coding for Methadone dosing and counselling
    By ladanao in forum Medicare Regulations
    Replies: 0
    Last Post: 02-03-2011, 11:12 AM
  4. Tobacco Cessation Counselling
    By Mohana Prasad in forum E/M
    Replies: 1
    Last Post: 11-25-2009, 12:28 PM
  5. Can we bill for counselling a family about a medical decision ?
    By kviolet in forum Emergency Department
    Replies: 3
    Last Post: 03-10-2009, 07:37 AM

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?

Login

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.