Question: I need CPT and ICD code for the following case: CASE 2-1 Chart Note Mary Ann Roberts, a Medicare patient, presents for an influenza vaccination.

I need CPT and ICD code for the following case:

CASE 2-1 Chart Note

Mary Ann Roberts, a Medicare patient, presents for an influenza vaccination. A HCPCS National Level II administration code is used to report the vaccination of a Medicare patient.

Chart note

LOCATION: Outpatient, Clinic

PATIENT: Mary Ann Roberts

PHYSICIAN: Alma Naraquist, MD

AGE: 72

COVERAGE: Medicare

Patient presents for administration of a trivalent IM (intramuscular) injection of split virus influenza vaccine, 0.25 mL administered by her nurse.

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