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.
Payment Allowances and Effective Dates for the 2022-2023 Flu Season:CodeLabeler NameVaccine Name90688Sanofi Pasteur SeqirusFluzone Quadrivalent (2022/2023) Afluria Quadrivalent (2022/2023)90694SeqirusFluad Quadrivalent (2022/2023) (Preservative Free)90756SeqirusFlucelvax Quadrivalent (2022/2023)6 more rows
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Use the CPT code for the vaccine administered (90686) and link to the diagnosis code for the immunization. Because qualified counseling occurred for a patient younger than 18 years of age, bill 1 unit of 90460 for administering influenza vaccine. Link to the immunization diagnosis code.
All flu vaccines in the United States are “quadrivalent” vaccines, which means they protect against four different flu viruses: an influenza A(H1N1) virus, an influenza A(H3N2) virus, and two influenza B viruses.
encounter for a vaccinationCode Z23 is used to indicate any encounter for a vaccination. The procedure codes are used to identify the type of the immunization given and how it was administered.
Z23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z23 became effective on October 1, 2021.
Z23 may be used as a primary diagnosis for immunizations in the OP and physician setting.
Z71. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z71. 89 became effective on October 1, 2021.
CPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.
Preventive medicine, individual counseling CPT codes 99401–99404 are designated to report services provided to individuals at a face-to-face encounter for the purpose of promoting health and preventing illness or injury.
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
HCPCS code G0008 for Administration of influenza virus vaccine as maintained by CMS falls under Vaccine Administration .
90686=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5-mL dosage, for intramuscular use.
Influenza virus vaccineCPT code 90656 - Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use.