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what are the medicare flu shot codes

by Mrs. Sydnie Reinger II Published 2 years ago Updated 1 year ago
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Payment Allowances and Effective Dates for the 2021-2022 Flu Season:
CodeLabeler NameVaccine Name
90688Sanofi Pasteur SeqirusFluzone Quadrivalent (2021/2022) Afluria Quadrivalent (2021/2022)
90694SeqirusFluad Quadrivalent (2021/2022)
90756SeqirusFlucelvax Quadrivalent (2021/2022)
7 more rows
Dec 22, 2021

How do you code a 2021 flu shot?

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

What is the new CPT code for Flu Vaccine 2021 2022?

Flu Vaccine Administration Coding +90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure).

What is the CPT code for Flu Vaccine 2020 2021?

Use CPT code 90471 to code for administration because the patient is an adult and this is the first vaccine administered at the visit.

Which diagnostic code is for a flu shot?

Z23ICD-10 Code: Z23.

What is the difference between 90471 and G0008?

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.

What is CPT code G0008?

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

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 new CPT code for flu vaccine?

Payment Allowances and Effective Dates for the 2021-2022 Flu Season:CodeLabeler NameVaccine Name90688Sanofi Pasteur SeqirusFluzone Quadrivalent (2021/2022) Afluria Quadrivalent (2021/2022)90694SeqirusFluad Quadrivalent (2021/2022)90756SeqirusFlucelvax Quadrivalent (2021/2022)7 more rows•Dec 22, 2021

What is DX code Z23?

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.

What is the ICD 10 code for influenza vaccination?

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 the ICD-10-CM code for flu vaccine is administered?

The code for getting the flu vaccination is Z23, which is the same for any immunization. In October 2017, an ICD-10-PCS code (3E01340) was added to capture the administration of the influenza vaccine.

Is Z23 a preventive code?

The Z23 code includes the following note: “Code first any routine childhood examination.” Therefore, when you provide immunizations in conjunction with a well-child visit, a code for routine child health examination should be reported first, followed by Z23 for any immunizations. This is similar to ICD-9 rules.

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