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.
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.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
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. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
In March 2021, Coding Rule COVID-19 vaccines causing adverse effects in therapeutic use was released to implement U07. 7 Emergency use of U07. 7 [COVID-19 vaccines causing adverse effects in therapeutic use].
Z23 may be used as a primary diagnosis for immunizations in the OP and physician setting.
If you administer an injection of the influenza vaccine only, report 90471. If you administer an influenza vaccine in addition to other vaccines, report the influenza injection with 90472. Note that code 90471 or 90473 cannot be reported in conjunction with 90460.
*90472 will only be used if another vaccine is given in addition to the flu vaccine. Providers may bill more than one unit of 90472 as appropriate....Vaccine CPT Code to ReportCPT Code Description90688Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use5 more rows•Aug 31, 2021
Vaccine Administration Code(s) Administration codes track which dose in the regimen is being administered. NDC 10/NDC11 The National Drug Code (NDC) uniquely identifies human drugs in the United States; it can be found on the vial containing the vaccine.
Z23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.