tci E/M Coding Alert - 2015 Issue 9

Reader Questions: Separately Report Counseling That Prompts Vaccination

Question: An established 19-year-old patient reported to our family physician for counseling on administration of the human papillomavirus (HPV) vaccine. Notes indicate that the physician spent 27 minutes discussing risks, benefits, and potential side effects of the vaccine. After the counseling, the patient decided to get the vaccination, which our physician provided during the same encounter. Can we code for the vaccination and the counseling separately, or is the counseling included in the work units for the vaccination? Connecticut Subscriber Answer: Since the counseling prompted the patient to go ahead with the vaccination, you should be able to report...

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