Office visit with tetanus for injury

Can you bill Medicare for the injection of a tetanus shot when an E/M is done on the same day?
99213
90703
90471
The tetanus was for an injury, so I know you code for the wound.

re: Office visit with tetanus for injury

yes, you can if you append the modifier 25 to the office visit, and you have good documentation supporting why there was a seperate and identifiable services provided on the same day as the injection.