icd 10 code for medicare flu vaccine

by Yvette Berge 6 min read

This update will include one new influenza virus vaccine code: 90694. In addition, this CR instructs contractors to modify existing editing to allow an influenza and a Pneumococcal polysaccharide vaccine (PPV) vaccination on the same date on separate roster bills.Jan 31, 2020

How do you code a flu shot for Medicare?

G0008 administration of influenza virus vaccine.

What is the ICD-10 code for flu vaccine?

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. Code according to the product you are using to accurately bill for flu vaccine.

What is the difference between G0008 and 90471?

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.

Is G0008 only for Medicare?

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.

What is ICD-10 Z23?

Inoculations and Vaccinations ICD-10-CM Coding Code Z23, which is used to identify encounters for inoculations and vaccinations, indicates that a patient is being seen to receive a prophylactic inoculation against a disease.

What is the ICD-10 code for immunizations?

ICD-10-CM Code for Encounter for immunization Z23.

Is G0008 an add on code?

Immunization Administration Add-ons The immunization administration codes 90460-90461, 90471-90474 or G0008-G0010 are reported in addition to the vaccine or toxoid code(s) 90476-90756, Q2034-Q2039. When giving more than one vaccine/toxoid, multiple administration codes are reported.

What is the Medicare code for 90471?

Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.

Does Medicare cover 90471?

You would have to use 90471 because G0008 is not a primary code for 90472. Also remember, Medicare doesn't pay for vaccinations outside of the flu, pneomoccocal and HepB. They will pay for tetanus if there is a medical reason for it, but not just a preventative vaccination.

What is HCPCS code G0008?

Administration of influenza virus vaccineInfluenza HCPCSHCPCS / CPTDescriptionG0008Administration of influenza virus vaccine (allowable same as90653Influenza virus vaccine, inactivated, subunit, adjuvanted, for intramuscular use10 more rows•Oct 13, 2021

What is G0008 code?

HCPCS code G0008 for Administration of influenza virus vaccine as maintained by CMS falls under Vaccine Administration .

How do you code vaccine administration?

For immunization administration other than COVID-19, codes 90460–90474 are reported for the administration of the vaccine, along with the appropriate vaccine/toxoid code (90476–90756) targeting the organism.