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Flu shots

  1. #1
    Location
    Anchorage, AK
    Posts
    31
    Default Flu shots
    Medical Coding Books
    I know this may not be the only post regarding flu shots. But I need clarification, only because I'm getting 2 different answers.

    If a patient comes in solely for a flu shot and the provider documents ROS, vitals and no EXAM, does it need an E/M?

    First answer from a source: Yes you do need and E/M with a -25 mod. (I'm a bit skeptical on this answer)

    Second answer from another: If a patient comes in solely for a flu shot then only the admin code with V04.81 should just be used. Documenting an ROS does not warrant an additional E/M office code.

    I'm leaning more toward the second answer.. What do you gurus have to say?

    Thanks for any input!!!

  2. #2
    Default
    I agree with the second answer. From a medical necessity standpoint if nothing else.

  3. #3
    Location
    Ellenville, New York
    Posts
    1,176
    Default Same opinion here...
    If the only reason for the encounter the flu shot, no E/M should be assigned, even if some ROS was performed.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  4. #4
    Location
    Anchorage, AK
    Posts
    31
    Default G0008 vs. Q2039
    For MCR patients, would you code G0008 or Q2039 for flu vacc. admin? I was told Q2039 but I'm disagreeing and going with G0008.

    ???

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