Results 1 to 3 of 3

Thread: Flu Shots

  1. #1
    Join Date
    Apr 2007

    Default Flu Shots

    When coding for an office visit for bp/med check and a flu shot is administered should you code for the office visit plus modifier and G0008. My physiician is coding office visit and 90471. The office visit is not being paid and 90471 is.

  2. #2


    if the physician did see the patient and the pt'S BP was a sable chronic condition then you code a low level OV 99211-25 with the flu shot for medicare pts would be G2038 and G0008 or a non medicare pt 90658 AND 90471, however if the ma did the bp check and flu shot then no OV just the the flu shot.

  3. #3
    Join Date
    Apr 2007
    Dover Seacoast New Hampshire


    The 99211 (nurse visit) is bundled into the flu shot, regardless of what else was done. If your physician also saw the patient, bill the appropriate E&M code based on the separately-identifiable key components (stable chronic problem is generally a 99212, but the HPI or exam also have to meet that level), then bill the CPT code for the appropriate flu vaccine, and either 90471 or G0008 (Medicare). Even if the nurse did a BP check, don't also bill the 99211. Make sure the diag for the OV is different from the flu diag-- V04.81. Some payers like the -25, but I wouldn't add it as a matter of course, check with them first.
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

Similar Threads

  1. Flu shots
    By JAB86 in forum E/M
    Replies: 3
    Last Post: 11-09-2011, 11:06 AM
  2. flu shots
    By julia9723 in forum Internal Medicine
    Replies: 2
    Last Post: 09-07-2011, 11:42 PM
  3. flu shots
    By ksanthony in forum Family Practice
    Replies: 2
    Last Post: 11-23-2010, 06:45 AM
  4. Flu Shots
    By GINNYV in forum Pediatrics
    Replies: 8
    Last Post: 03-29-2009, 01:19 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.