I have a pt. who had a bat in his room. No history of a bite and the bat was not captured and tested for rabies. The county health department said the pt. should receive rabies vaccine and immune globulin. The health department supplied the vaccine and the HRIG. What's the correct way to code for this? Since I did not purchase the vaccine and the HRIG, I can not bill for these materials as a procedure. If you put 90471-without a vaccine code, the ins. co. will not pay for the 90471. What about the correct E/M code? If I bill 99212 or 99213 with the diagnosis code V01.5 (exposure to a virus), they will not pay because I listed a sick procedure with a well "V" code.
Stuart Beeber, MD