An 18-year-old male who was last seen by a pediatrician in this group 5 years ago is scheduled for a preventive service. His physician provides an age- and gender-appropriate preventive service and counsels the patient about the risks and benefits of receiving human papillomavirus (HPV), meningococcal, and influenza vaccines. The patient is administered the quadrivalent HPV, preservative-free trivalent influenza, and tetravalent meningococcal conjugate vaccines.

What Current Procedural Terminology (CPT®) and International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes are appropriate for reporting the preventive service and immunizations provided at this encounter?

The patient in this example is a new patient (ie, has not been seen by the practice for more than 3 years) who is 18 years old. The preventive service is reported with CPT code 99385. If billing to a payer that has adopted Medicare or Medicaid National Correct Coding Initiative edits, it may...

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