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Flu shot office visit

  1. #1
    Default Flu shot office visit
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    Is there a way to get paid for seeing a patient that has not been in office in over 6 months
    but has no conditions going on today but wanting to get their flu shot. Our office wants
    to examine patient before giving them shot. Is there a right way to code this and get paid
    for it? Or just charge for the flu shot and administration?

  2. #2
    Default
    Quote Originally Posted by paynecoder1 View Post
    Is there a way to get paid for seeing a patient that has not been in office in over 6 months
    but has no conditions going on today but wanting to get their flu shot. Our office wants
    to examine patient before giving them shot. Is there a right way to code this and get paid
    for it? Or just charge for the flu shot and administration?
    If they perform an age/sex appropriate history and exam, and counsel the patient on any identified risk factors relevant to their age/sex/lifestyle, then you could report a preventive exam. Absent any problems, you can't report 99211-99215. If their entire purpose in coming in was to get a flu shot, and they didn't request a PE, I'd be careful about billing one - they may not have coverage for it, and probably wouldn't be too happy about getting a bill for it, when they could have just gone to a pharmacy and gotten a flu shot.

    If by "examine them", you mean "get their vitals and make sure that they're not allergic to eggs", don't report an E/M - that much is included in the pre-procedure work for the vaccine admin code.

  3. #3
    Default
    Thanks for your advise I was thinking along those lines but they wanted me to check.
    Have a blessed day.

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