ICD-10 Code: Z23 Get payment allowances & effective dates for the 2021-2022 season. Learn about claims & roster billing.
Vaccine CPT Code to ReportCPT Code Description90686CGInfluenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use90688CGInfluenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use6 more rows•Aug 31, 2021
Payment Allowances and Effective Dates for the 2021-2022 Flu Season:CodeLabeler NameVaccine Name90662Sanofi PasteurFluzone High-Dose Quadrivalent (2021/2022)90672MedImmuneFluMist Quadrivalent (2021/2022)90674SeqirusFlucelvax Quadrivalent (2021/2022) (Pres Free)90682Sanofi PasteurFlublok Quadrivalent (2021/2022)6 more rows•Dec 22, 2021
CMS has created new HCPCS codes and payment allowances to replace 90658 (Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use). Medicare will no longer pay for 90658 effective Jan.
Flu Vaccine Administration Coding +90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure).
The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. This code can only be used for patients through age 18. Code 90471 is used when the drug is administrated by a medical assistant or nurse and the patient does not see the physician at all.
To report a single intramuscular vaccination, report 90471. To report three intramuscular injections, report 90471 for the initial intramuscular vaccination administration and 90472 x 2 for the additional intramuscular administrations.
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.
For vaccines given the same day as a G-Code vaccine, use 90471. For example, if a patient receives a flu shot and tetanus shot, you would bill G0008 for the flu vaccine and 90471 for the tetanus vaccine; also add modifier 59 (distinct procedural service) to the G code.
Effective for dates of service on or after October 1, 2010, HCPCS codes Q2035, Q2036, Q2037, Q2038 and Q2039 will replace the CPT code 90658 for Medicare payment purposes during the 2010 – 2011 influenza season, however, these HCPCS codes will not be recognized by the Medicare claims processing systems until January 1, ...
Afluria is a vaccine that is used to prevent the effects of influenza virus. Influenza virus develops every year and is getting stronger day by day.
90460: Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered.