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

99213 represents an office visit for the evaluation and management of a patient, which includes an expanded problem-focused history and examination, appropriate for John's diabetes management. 90471 is the code for the administration of one vaccine, which is needed for the flu shot given. 90658 represents the influenza vaccine, which is the flu shot administered. E11.9 is the ICD-10-CM code for type II diabetes without complications, and Z23 is the code for the encounter for immunization, covering the flu shot.

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