John, age 45, was seen in the office today for interim medical evaluation and management of his type II diabetes. The physician performed an expanded problem-focused history and examination. At the same visit, the physician also administered a flu shot, split virus 0.5ml, intramuscularly. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct coding includes 99213 for an office visit for the management of diabetes (expanded problem-focused history and examination), 90471 for the immunization administration (first vaccine), 90658 for the flu vaccine itself, E11.9 for type II diabetes without complications, and Z23 for the encounter for immunization.

John, Age 45, Was Seen in the Office Today for Interim