Home › Forums › BILLERS’ BOARD › Link with clarification on code 99211 regarding vaccines
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- June 19, 2018 at 9:25 am #13727
Missouri Public Health AssociationKeymasterhttps://www.aap.org/en-us/Documents/coding_aap_position_paper_99211_ia_2016.pdf
Check out this link.
I have reached out to my billing/coding instructor from a few years back (I graduated with my AOS in billing and coding in 2014) for documentation to help further explain the code 99211 and when you can and can not use it when billing for vaccines. Also, I have been personally told from Mo HealthNet’s Dana L. Bernier, a Provider Education Representative,that we can not bill 99211 with vaccines alone.
(Also, there is no such thing as the “two touch rule”.)
Hope this helps everyone!
June 19, 2018 at 10:10 am #25192
Missouri Public Health AssociationKeymasterThank you!!
June 19, 2018 at 10:36 am #25191
Missouri Public Health AssociationKeymasterYou are very welcome!
I want to emphasize the part that says that taking routine vital signs are services INCLUDED in the immunization administration CPT codes.
The “two touch rule” that is being talked about refers to IF there is a separate identifiable E/M there is criteria that has to be met, height and weight are included in that. I believe that’s where the confusion on this rule is, which isn’t even a real rule.
June 19, 2018 at 11:42 am #25190
Missouri Public Health AssociationKeymasterThis was very helpful. Thank you, Donna
June 19, 2018 at 1:11 pm #25189
Missouri Public Health AssociationKeymasterYour welcome! Glad to help!
(This applies to any age. Pediatrics just happens to be who put out this publication.)
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