tci E/M Coding Alert - 2015 Issue 4

Reader Question: Couple the HPV Vaccine with 99402

Question: An established patient came into our ob-gyn office wanting to talk about whether she should have the HPV vaccine. Our gynecologist counseled the patient for 20 minutes on the benefits and she decided at that time to have the vaccine. How do I report the counseling and vaccine on the same day? Georgia Subscriber Answer: You should report 99402 (Preventive medicine counseling and/or risk factor reduction intervention[s] provided to an individual [separate procedure]; approximately 30 minutes) for the human papillomavirus (HPV) vaccine counseling. Also report 90649 (Human Papilloma virus [HPV] vaccine, types 6, 11, 16, 18 [quadrivalent], 3...

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