G0008 administration of influenza virus vaccine.
The ICD-10 code to use for flu vaccination is Z23, encounter for immunization.Sep 28, 2020
For Medicare patients, use the administration code G0008. For non-Medicare patients: If the patient receiving the influenza vaccine is 18 years of age or younger and receives counseling from a physician or other qualified health care professional (e.g., nurse practitioner), report 90460.Sep 20, 2021
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.Nov 5, 2019
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
ICD-10-CM Description Clinicians may assign code Z28. 311, “Partially vaccinated for COVID-19,” when the patient has received at least one dose of a multi-dose COVID-19 vaccine regimen, but has not received the doses necessary to meet the CDC definition of “fully vaccinated” at the time of the encounter.Mar 7, 2022
Payment Allowances and Effective Dates for the 2020-2021 Flu Season:CodeLabeler NameVaccine Name90688Sanofi Pasteur SeqirusFluzone Quadrivalent (2020/2021) Afluria Quadrivalent (2020/2021)90756SeqirusFlucelvax Quadrivalent (2020/2021)9 more rows•Dec 22, 2021
2020-2021 Seasonal Flu Vaccine InformationPatientsCPT CodesAny age patient with counseling90460-90461Any age patient when no counseling is involved90471-90474Patients who also have Medicare coverageG0008 (Medicare requires this code for influenza)Sep 9, 2020
90688=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, 0.5-mL dosage, for intramuscular use. Source: 2021 CPT.
The HCPCS codes range Vaccine Administration G0008-G0010 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.
The administration of PPV, influenza virus, and hepatitis B vaccines, (HCPCS codes G0009, G0008, and G0010), though not reimbursed directly through the MPFSDB, is reimbursed at the same rate as HCPCS code 90782 on the MPFSDB for the year that corresponds to the date of service of the claim Beginning March 1, 2003 HCPCS ...
Use separate administration codes for the seasonal influenza virus (G0008) and pneumococcal (G0009) vaccines. Medicare pays both administration fees if a beneficiary gets both the seasonal influenza virus and the pneumococcal vaccines on the same day.