I’m still new to my place of work. I’ve recently run across charts where the patient is being seen only for immunizations/Green card immigration paperwork. Currently, patient’s are only billed for the administration of the immunization(s). I believe a PE specific to immigration requirements is being done and the appropriate paperwork is being completed, but not billed for. This just doesn’t seem right to me.

I reviewed ICD-10 and found Z02.89 – Encounter for immigration, but had trouble figuring out which E/M code would be appropriate. I could only find 99499 – Unlisted eval and management service.

I would appreciate input from anyone with experience in billing for Green Card Medical Exam/Vaccinations. What ICD-10 and CPT do you use and get successfully paid for? Or is this done only under vaccination?