AAPC - Back to school
Results 1 to 2 of 2

Thread: Immunizations for work

  1. #1

    Default Immunizations for work

    AAPC: Back to School
    I'm looking for suggestions, or advice on dx and e/m coding for a visit where a nurse was requierd by JACHO to be updated w/her immunizations. I don't know why she didn't go to employee health, but came to her primary care physician. I agree w/the level three e/m that my physician charged, he dictated a Brief Hx pres illness, explaining what was needed, and her past shots, and that this is a middle aged nurse who presents for immunziations and is otherwise well. ROS is constitutional, and documented vitals, chest clear, heart regular rate/rythm, and skin dry, no cyanoisis or clubbing,(Exp prob focused exam) MDM is straightforward, but w/2 of 3, I agree w/99213. My problem is the dx. I come up w/V70.5, as this was requested by work, but I doubt that BSRI will pay w/the V code. We did administer Adacel, and placed the first of a two series PPD. So, I was going to bill 99213/25 V70.5, V06.1, V74.1, 90471 (v061), and 86580 (V74.1) any other thoughts/suggestions?

  2. #2
    Join Date
    Apr 2007
    Richmond, Virginia


    It is federal law that her employer supply this. If she chose to go to her primary care provider, in all likelihood, its going to be denied and she will end up paying out of pocket for it herself. (provided her PCP is not affiliated with her employer)

Similar Threads

  1. immunizations
    By nc_coder in forum Family Practice
    Replies: 0
    Last Post: 04-03-2012, 12:07 PM
  2. Immunizations help
    By perkins05 in forum Family Practice
    Replies: 2
    Last Post: 02-10-2011, 07:21 AM
  3. Immunizations help
    By perkins05 in forum Internal Medicine
    Replies: 2
    Last Post: 02-10-2011, 07:20 AM
  4. Immunizations Only
    By nauger in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-05-2009, 09:55 PM

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?


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.