Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine. G0009 administration of pneumococcal vaccine. G0010 administration of Hepatitis B vaccine.
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.
Immunization Administration Add-ons The immunization administration codes 90460-90461, 90471-90474 or G0008-G0010 are reported in addition to the vaccine or toxoid code(s) 90476-90756, Q2034-Q2039. When giving more than one vaccine/toxoid, multiple administration codes are reported.
HCPCS code G0008 for Administration of influenza virus vaccine as maintained by CMS falls under Vaccine Administration .
Expert. Francynesmith said: I too was told the same thing by Medicare - G0008 must have a modifier when billed with multiple vaccines.
You would have to use 90471 because G0008 is not a primary code for 90472.
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.
90460: Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered.
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
Medicare Part D covers most vaccines and immunizations. However, there are certain vaccinations that are always covered by Part B: Influenza (flu) shots, including both the seasonal flu vaccine and the H1NI (swine flu) vaccine. Pneumococcal (pneumonia) shots.
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.