Medicare Blog

how to bill medicare transition and flu shot on same date

by Billy Casper Published 2 years ago Updated 1 year ago

Can you bill G0008 and G0009 together?

Use separate administration codes for the seasonal influenza virus (G0008) and pneumococcal (G0009) vaccines. Medicare pays both administration fees if a beneficiary gets both the seasonal influenza virus and the pneumococcal vaccines on the same day.

Can you bill G0008 and 90471 together?

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.Nov 5, 2019

How do you bill flu vaccine and administration?

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.Sep 20, 2021

Does 90732 need a modifier?

A modifier is not required. For example: Non-Medicare patient: 90658, 90732, 90471, 90472, 99213; Medicare patient: 90658, 90732, G0008, G0009, 99213.Feb 1, 2006

Does Medicare reimburse G0008?

Effective March 1, 2003 HCPCS codes G0008, G0009, And G0010 should be reimbursed at the same rate as HCPCS code 9047.

Does Medicare cover G0008?

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.

What is the administration code for flu vaccine for Medicare?

Flu Shot Coding
Administration & Diagnosis CodesVaccine Codes & Descriptors
90686Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use
90687Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use
25 more rows
Sep 14, 2021

What is the CPT code for flu vaccine for Medicare?

Payment Allowances and Effective Dates for the 2019-2020 Flu Season:​ ​
CodeLabeler NameDrug Name
90662Sanofi 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

How do you code a flu shot 2021?

90688=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, 0.5-mL dosage, for intramuscular use. Source: 2021 CPT.

Is CPT 90694 covered by Medicare?

Effective for claims processed with Dates of Service (DOS) on or after July 1, 2020, influenza virus vaccine code 90694 (Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use) is payable by Medicare.Jan 31, 2020

Can 90471 and 90473 be billed together?

o For administration and physician counseling (CPT 90460-90461) of multiple component vaccines, provided to children 18 years of age or younger, submit 90460 for the first component administered, and 90461 for each additional component included in the vaccine. o Report one initial administration code per day, ...

What is the administration code for 90732?

The Current Procedural Terminology (CPT®) code 90732 as maintained by American Medical Association, is a medical procedural code under the range - Vaccines, Toxoids.

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