PROGRESS NOTE
PATIENT: TROHOSKE, RUBY
DATE: 12/14/2016
MEDICAL NOTE:
The patient was seen in the clinic today for a 5-year well-child exam. The physical exam was unremarkable; the patient was at normal growth and development for her age group. The following vaccines were recommended for the patient at this visit: DTaP, IPV, MMR, Varicella, and annual Influenza shot. What are the correct codes for this visit?
Explanation
Answer: C - The correct codes for this visit are: 99393, 90471, 90700, 90472 (X4), 90713, 90707, 90716 and 90658. The correct E&M code for the well-child exam is 99393 (Periodic Comprehensive Preventive Medicine; Late Childhood (age 5 through 11 years)). The correct administration codes for the vaccines are: 90471 (Immunization Administration) and 90472 (X4) (Immunization Administration; Each Additional Vaccine) because the vaccines were not provided with counseling. The correct influenza vaccine is 90658 (Influenza Virus Vaccine, Trivalent, Split Virus, When Administered to Individuals 3 Years of Age and Older)because code 90657 is used for individuals under 3 years of age and code 90660 is used for intranasal use.
