The ICD-10-PCS code assignment for the vaccination is 3E01340 for intramuscular injection of the flu vaccine.
Coding & Reimbursement 90662=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use.
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.
ICD-10-CM Code for Encounter for immunization Z23.
If the immunization is related to exposure (eg, the administration of a Tdap vaccine as a part of wound care), the ICD-10 code describing the exposure should be used as the primary diagnosis code for the vaccine, and Z23 should be used as the secondary code.
Payment Allowances and Effective Dates for the 2021-2022 Flu Season:CodeLabeler NameEffective Dates90672MedImmune08/26/2021 – 07/31/202290674Seqirus08/11/2021 – 07/31/202290682Sanofi Pasteur08/01/2021 – 07/31/202290685Sanofi Pasteur Seqirus08/01/2021 – 07/31/20226 more rows•Dec 22, 2021
When reporting administration of combination vaccines, code 90460 is reported for the first component and add-on code 90461 is reported for each additional component (no modifier -51 required).
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.
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.
Use HCPCS Level II code M0201 for the additional payment for administering the COVID-19 vaccine to certain Medicare patients in their homes.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
The ICD-9-CM diagnosis codes pneumonia vaccine prophylaxis is V03. 82 Pneumococcal prophylaxis. In ICD-10 (scheduled for implementation Oct. 1, 2015), all immunization encounters will have Z23 Encounter for immunization as the primary diagnosis; procedure codes will identify the type(s) of immunizations given.
90686, “Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use.” 90688, “Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use.”
Per the Food and Drug Administration's approved labeling, Fluzone High-Dose is only covered by Medicare for beneficiaries age 65 or older. Medicare's reimbursement is $11.37 for Fluzone, CPT 90658.
Influenza virus vaccineCPT® Code 90658 in section: Influenza virus vaccine.
Effective for dates of service on or after October 1, 2010, HCPCS codes Q2035, Q2036, Q2037, Q2038 and Q2039 will replace the CPT code 90658 for Medicare payment purposes during the 2010 – 2011 influenza season, however, these HCPCS codes will not be recognized by the Medicare claims processing systems until January 1, ...