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 codes are 99213 for the office visit (expanded problem-focused history and examination for diabetes management), 90471 for the immunization administration (first vaccine), 90658 for the flu shot 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