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The same-day and program rules are: An E/M or preventive visit billed with 90471 requires modifier 25 on the E/M line, supported by a significant, separately identifiable service A routine vaccine-only encounter does not support a separate E/M charge The add-on code 90472 requires CPT code 90471 on the same claim Only one initial administration code applies per visit, either 90471 or 90473 Units, MUEs & Frequency Rules CPT code 90471 is reported once per encounter as the initial administration

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