tci E/M Coding Alert - 2017 Issue 6

Reader Question: Don't Use 99211 as Catchall Code

Question: How should I bill the administration of the second and third shot of Gardasil? Can I also use code 99211? Louisiana Subscriber Answer: Gardasil helps to prevent cervical cancer, precancerous genital lesions, and genital warts caused by human papilloma virus (HPV) types 6, 11, 16 and 18. The product is approved for use in females 9-26 years of age, so you should report the administration code 90471 (Immunization administration [includes percutaneous, intradermal, subcutaneous, or intramuscular injections]; one vaccine [single or combination vaccine/toxoid]), if this is the only injection service the physician provides that day. For the product Gardasil...

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