In the table below is a listing of influenza codes:
Type | Code | Description |
Type A, non-novel | J10.- | Influenza due to other identified influe ... |
Type A, H1N1 | J09.X2 | Influenza due to novel influenza A virus ... |
Type B | J10.- | Influenza due to other identified influe ... |
Type C | J10.- | Influenza due to other identified influe ... |
In ICD-10-CM, you'll find 21 codes in several subcategories for influenza:
ICD-9-CM code Description; 487.0: Influenza with pneumonia: 487.1: Influenza with other ...
The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
Influenza due to identified novel influenza A virus with other respiratory manifestations. J09. X2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J09.
The ICD-10 code to use for flu vaccination is Z23, encounter for immunization. There are many CPT codes to describe influenza vaccine, varying by manufacturer, product and age group.
Type B influenza can be just as severe as type A influenza but is less common throughout the flu season compared to type A. Humans are the natural host for type B infection. Type B viruses mutate much slower than type A infections and are categorized by strains, but not subtypes.
Influenza A is usually the more common form of the virus and tends to circulate early in the season, while influenza B is normally less common and shows up late in the season. This season, influenza B has been more common and is circulating earlier than in previous seasons.
90686, “Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use.”
Use the CPT code for the vaccine administered (90686) and link to the diagnosis code for the immunization. Because qualified counseling occurred for a patient younger than 18 years of age, bill 1 unit of 90460 for administering influenza vaccine. Link to the immunization diagnosis code.
There are four types of influenza viruses: A, B, C and D. Human influenza A and B viruses cause seasonal epidemics of disease (known as flu season) almost every winter in the United States.
Type A influenza is generally considered worse than type B influenza. This is because the symptoms are often more severe in type A influenza than in type B influenza. Type A influenza is more common than type B influenza. Researchers suggest that most adults have considerable immunity against type B influenza.
The flu is caused by an influenza virus. Most people get the flu when they breathe in tiny airborne droplets from the coughs or sneezes of someone who has the flu. You can also catch the flu if you touch something with the virus on it, and then touch your mouth, nose, or eyes.
There are three types of flu viruses: A, B, and C. Type A and B cause the annual influenza epidemics that have up to 20% of the population sniffling, aching, coughing, and running high fevers. Type C also causes flu; however, type C flu symptoms are much less severe.
According to the Centers for Disease Control and Prevention (CDC) , an uncomplicated influenza infection will last from three to seven days in most people, including children. However, a cough and feelings of weakness or fatigue can last for two weeks or longer.
Oseltamivir (Tamiflu) and zanamivir (Relenza) are drugs that doctors may use to treat type A or type B influenza. Antiviral drugs can reduce a person's recovery time by around 2 days, but they are only effective if a person takes them within a few days of symptoms starting.
The high-risk groups for influenza include: People with chronic respiratory, cardiovascular, renal, hepatic, neurologic, hematologic, or metabolic disorders. The ICD-10-CM coding for influenza begins with the main term of Influenza. It is important to designate novel or non-novel as a descriptor.
Unspecified with manifestations. J11.-. Influenza due to other unidentified influenza virus. Novel influenza A is also known as bird or avian flu. Other factors that may impact the influenza code are the manifestations, such as encephalopathy, enteritis, laryngitis, myocarditis, otitis media, pneumonia, etc.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act (SSA) §1833 (e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim
To avoid the overuse of antibiotics and the potential risk of antibiotic resistance, point of care providers should consider testing patients prior to prescribing treatment for a bacterial or influenza infection. Influenza testing (using molecular methods) is recommended for hospitalized patients with suspected influenza.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act (SSA) §1833 (e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim
To avoid the overuse of antibiotics and the potential risk of antibiotic resistance, point of care providers should consider testing patients prior to prescribing treatment for a bacterial or influenza infection. Influenza testing (using molecular methods) is recommended for hospitalized patients with suspected influenza.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.