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Flu Season

  1. #1
    East Stroudsburg
    Default Flu Season
    Medical Coding Books
    I was wondering if I could get some opinions on billing for Flu Vaccines this year. It seems that this time of year a heated debate always occurs on whether or not to bill the 99211 or just the admin 90471 or G0008. Our sites do in fact perform a nurse visit for all patients being seen for a flu vaccine so the documentation does warrent the 99211.

    Any help would be great. Thanks.

  2. #2
    When we bill for the flu vaccine, we use the admin 90471 or G0008 along with the appropriate vaccine code. It is administered by the nurses and normally ordered by the physicians @ their last well visit. There would be no documented medical necessity to bill a 99211 because your only reason for visit is "flu vaccine administraion" which is covered by the admin & vaccine codes.
    JShields, CPC, CEMC

  3. #3
    I quote/reference the AAFP website quite often. Here's a link to some great info on this topic:

    You'll see that they state you would bill for the visit + the vaccine/medicine OR you would bill the administration + the vaccine/medicine. Hope this helps.

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