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New Patient Initial Visit

Bernadette Posted Tue 10th of December, 2013 12:58:43 PM

Hi,

We are a pediatric PCP and we had a new patient needed to get the flu vaccine. The doctor did exam the patient, reviewed the medical records with the parents and then the patient received the flu vaccine. There were no concerns or current issues. What diagnosis code (ICD-9) could we use for the office visit(we would bill CPT code 99203 along with the flu vaccine and administration counseling code code)? Is there an ICD-9 code for medical records review?

We appreciate your feedback..

SuperCoder Answered Tue 10th of December, 2013 17:15:42 PM

You would use the well child visit code: V20.2. As long as he documented an office visit you can code both the office visit and the flu vaccine and administration [no counseling code]. No, there is no ICD-9 code for medical records review, that is part of the office visit.

Bernadette Posted Wed 11th of December, 2013 12:28:55 PM

Thank you for your response.. Just out of curiosity, would ICD-9 code V05.9 be appropriate to use with CPT code 99203 and then for the flu and admin use ICD-9 v04.81?

SuperCoder Answered Wed 11th of December, 2013 13:07:13 PM

You're welcome. No, V05.9 is not appropriate. Yes, V04.81 is appropriate linked to flu and admin. use.

Bernadette Posted Mon 06th of October, 2014 13:43:24 PM

I have an additional question regarding this matter. .. Should a new patient transferring into our practice receive a well visit, even if they may have received a well visit with their previous doctor?

SuperCoder Answered Mon 06th of October, 2014 16:55:30 PM

Thank you for your question.
That is up to your practice and protocol. If they have already received a well visit during the year, the payer not reimburse for another preventive visit. This would be something to discuss with the patient.

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