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E/M services provided on the same date as vaccine administration When an evaluation and management (E/M) service (other than a preventive medicine service) is provided on the same date as a prophylactic immunization, modifier 25 may be appended to the code for the E/M service to indicate that this service was significant and separately identifiable from the physician's work of the vaccine counseling/administration

Journal of cutaneous pathology, 44(11), 974977

Overdosage Signs and symptoms of acute or chronic overdosage may be those of individual M.V.I

Injections bypass digestion entirely, while supplements rely on it