Medicare Blog

icd 10 code for medicare when giving flu shot

by Royal Breitenberg Published 2 years ago Updated 1 year ago
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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 ICD-10 code flu vaccine administration?

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.

What is diagnosis code for influenza vaccine?

ICD-10 Code: Z23.

How do 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.

How do you code vaccine administration?

For immunization administration other than COVID-19, codes 90460–90474 are reported for the administration of the vaccine, along with the appropriate vaccine/toxoid code (90476–90756) targeting the organism.

How do you code a flu shot for Medicare?

G0008 administration of influenza virus vaccine.

What is the ICD-10 code for vaccine administration?

ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.

Is G0008 an add on 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.

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.

Is G0008 only for Medicare?

The HCPCS codes range Vaccine Administration G0008-G0010 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.

What is the CPT code for flu vaccination 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.

Is CPT 90471 covered by Medicare?

You would have to use 90471 because G0008 is not a primary code for 90472. Also remember, Medicare doesn't pay for vaccinations outside of the flu, pneomoccocal and HepB. They will pay for tetanus if there is a medical reason for it, but not just a preventative vaccination.

What is the correct CPT code for flu vaccine?

*90472 will only be used if another vaccine is given in addition to the flu vaccine. Providers may bill more than one unit of 90472 as appropriate....Vaccine CPT Code to ReportCPT Code Description90688Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use5 more rows•Aug 31, 2021

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