The CPT guidelines state that if you have a significant, separately identifable E/M service in conjunction with vaccines, you report the E/M code with modifier 25. CPT gives an example in this case of either an office/outpatient E/M service or a preventative medicine service.
My question is this.....if a child presents for a well-child visit and we administer vaccines as part of the visit, do we report modifier 25 on the preventative E/M code? Are others doing this, or is this going to be payer specific? Thanks.
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