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E & M code plus flu shot

Lynn Posted Wed 14th of November, 2012 21:16:55 PM

If I do an E & M code and the patient wants a flu shot on the same
day, do I add the 25 Mod. to the E & M code for Medicare

SuperCoder Answered Thu 15th of November, 2012 05:58:58 AM

You can report a separately identifiable E/M service with your flu shot codes, as long as your physician fully documents the E/M details and the medical necessity of the visit. You should append modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to the E/M code.

If you are billing Medicare, you cannot bill the G code for the administration in addition to the E/M code. You can only bill the E/M and 90658 and/or 90732.

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