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Family Practice Coding Alert

You Be the Coder:
Avoid Denial of E/M With Flu Vaccine Administration

Question: I have been reporting flu vaccine with E/M visits and other in-office procedures. I have been using modifier 25 with these E/M codes, but some private insurance companies have been denying them. I bill the E/M with modifier 25 code first and then the flu vaccine Tennessee Subscriber  Answer: According to Correct Coding Initiative (CCI) edits, E/M office or inpatient codes [...]