tci Part B Insider - 2008 Issue 39

Reader Question: Don't Code Built-In Service With Separate Evaluation and Management Code

Brief history and review probably won't qualify for E/M code when your NP administers a vaccine.Question: A nurse practitioner (NP) sees a 65-year-old established patient for a pneumonia vaccination. Before administering the vaccine, she takes a brief history, checks the patient's vital signs, and rules out any contraindications for the vaccine. Can I report an E/M in addition to the vaccination codes?Answer: Probably not. From your description of the NP's actions, she did not do much beyond providing the E/M service built into most CPT codes. For that reason, you should just report the vaccination codes.On...

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