icd 10 code for medicare influenza vaccine

How do you code a flu shot for Medicare?

Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine.

What is the ICD-10 code flu vaccine administration?

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.

What is the CPT code for Medicare flu vaccine?

Payment Allowances and Effective Dates for the 2019-2020 Flu Season:​ ​CodeLabeler NameDrug Name90662Sanofi PasteurFluzone High-Dose (2019/2020)90672MedImmuneFluMist Quadrivalent (2019/2020)90674SeqirusFlucelvax Quadrivalent (2019/2020) (Pres Free)90682Sanofi PasteurFlublok Quadrivalent (2019/2020)6 more rows•Dec 22, 2021

How do you bill G0008 and 90471 together?

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.

What is diagnosis code for influenza vaccine?

ICD-10 Code: Z23.

What is the ICD-10 code for vaccine administration?

ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.

Is CPT 90471 covered by Medicare?

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.

Does Medicare pay for CPT code G0008?

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.

What is the Medicare code for 90471?

90471 One vaccine, single or combination vaccine/toxoid. Immunization administration (includes percutaneous, intradermal, subcutaneous or intramuscular injections).

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

Does CPT G0008 require a modifier?

Expert. Francynesmith said: I too was told the same thing by Medicare - G0008 must have a modifier when billed with multiple vaccines.

What is the difference between 90460 and 90471?

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.