Pediatric Coding Alert

You Be the Coder:

Recognize Whether This Visit Calls for Modifier 25

Question: Our pediatrician saw an existing 7-week-old patient for a routine checkup with immunizations. During the exam, she noticed diaper rash forming. She recommended a couple of over-the-counter creams, advised immediate administration, and offered additional treatment advice. The doctor then proceeded to administer the vaccines. I understand the vaccine codes, but how would I correctly code the exam and diaper [...]
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