Results 1 to 2 of 2

Travel/Immunization Consults for Medicare Patients

  1. #1
    Default Travel/Immunization Consults for Medicare Patients
    Exam Training Packages
    I hope someone can help me, my doc saw a husband and wife who have medicare and the visit consisted of them discussing what immunizations they need to travel overseas. First of all what E/M code can I use for this type of consult/visit. and was dx should I append also. My doctor spent an hour with both in consult. I am assuming that this will not be covered by Medicare in which the patients I'm sure will be upset. Thanks so much!

  2. #2
    Milwaukee WI
    Default Travel Medicine
    Our Travel Medicine clinic tells patients who call for an appointment that
    1) we do not bill ANY insurance (virtually no insurance pays for this)
    2) the consult fee is $x and is payable in full at the time of your visit
    3) the fee for any recommended immunizations can range from $Y to $Z per immunization, and is payable in full at the time of the vist.

    Will will send the patient a statement outlining services provided. IF patients want to submit to their insurance on their own, they are free to do so.

    To answer your question directly ... you would bill the appropriate level of E/M based on time spent in counseling/coordination of care. If he saw them both together ... not sure how you'll divide the time (or perhaps just bill one patient for the entire time).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Billing ER consults for NON-Medicare patients
    By pochranek in forum Emergency Department
    Replies: 2
    Last Post: 08-04-2014, 03:57 PM
  2. Travel consults
    By nc_coder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-22-2013, 08:01 AM
  3. 3 part question - consults performed for Medicare patients
    By Colliemom in forum Gastroenterology
    Replies: 3
    Last Post: 05-29-2009, 12:00 PM
  4. Replies: 0
    Last Post: 05-26-2009, 12:48 PM
  5. Travel Immunization Dx
    By LOVE2CODE in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-17-2009, 07:30 AM

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.