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.
90688=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, 0.5-mL dosage, for intramuscular use. Source: 2021 CPT. Current Procedural Terminology. NDC = National Drug Code.
G0008 administration of influenza virus vaccine.
ICD-10 code R05 for Cough is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
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.
Code 90460 is reported for each separate administration of single component vaccines and/or first component of a combination vaccine.
If a patient presented to a GP to receive a vaccine and to enquire about a medical condition, the GP may claim the appropriate item (such as item 23). A patient presents to a GP to receive the influenza vaccination. The patient is in the cohort of patients which is covered for the influenza vaccine under the NIP.
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.
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.
1 (Acute cough) R05. 2 (Subacute cough)
R05. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Deleted Code for 2022. This code was deleted, expanded, or replaced for 2022. R05 has been expanded into R05 Cough. auto-open Articles & Newsletters. R05.
Payment Allowances and Effective Dates for the 2021-2022 Flu Season:CodeLabeler NameVaccine Name90662Sanofi PasteurFluzone High-Dose Quadrivalent (2021/2022)90672MedImmuneFluMist Quadrivalent (2021/2022)90674SeqirusFlucelvax Quadrivalent (2021/2022) (Pres Free)90682Sanofi PasteurFlublok Quadrivalent (2021/2022)6 more rows•Dec 22, 2021
It cannot be billed with 96372, 90460, 90471, etc. Also do not bill 99211 for the interpretation.
Immunization administration for90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.
OFFICE VISITS FOR IMMUNIZATION Can code 99211, “Office or other outpatient visit for the evaluation and management (E/M) of an established patient that may not require the presence of a physician,” be reported when a patient presents for a flu shot? Code 99211 is not typically paid in the situation you describe.