Wiki Z7189 or Z23?

poo0604

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I had a question:

If Dr. gave paitent Twinrix (Hep A & B) vaccine and or Tdap and used Z7189 (other specified counseling) shouldn't I use the Z23 (encounter for immunization) code? Any information would be greatly appreciated.

Thank You!
 
I am not sure why my Dr. started using the Z7189

Physician is probably thinking of vaccine counseling which is typically a standard of care when it comes to vaccines for children. Is is however not the reason the patient presented which is why it's Z23 is the appropriate diagnosis.
 
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