WOW..! I would assume they would - I can't say that I've ever run across services where the patient has both a level 5 (99215) E/M AND a age specific preventive service at the same time! Usually when the provider marks a high level E/M and a preventive - after review of the chart notes it becomes apparent that the issues presented far outweigh the preventive service - usually resulting in an E/M charge only. Often, a preventive service will be charged with a low lever E/M (99212)... documentation supporting the E/M services that were above and beyond the preventive (usually something minor - sore throat, shoulder pain, etc) something that was addressed above the normal preventive.
that being said - if you truly have a level 5 E/M AND a preventive service, and documentation can stand alone to support BOTH services - along with the immunizations - you'd probably need a .25 modifier on both the preventive service (due to the immunizations) and on the E/M due to the fact that you have two service same day.
I'd be very interested in seeing the chart note for these services, I'd like to see documentation that actually supports both a 99215 and a preventive service.
just my opinion and having not seen the documentation - I'm thinking this should be a 99215.25 only (no preventive service charged) OR a lower level E/M, dx specific, linked accordingly along with the preventive. mods on both services if both services are supported - and immunizations linked accordingly as well....
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