Medicare Blog

what codes should i use for the flu shot for medicare

by Carmel Keebler Published 2 years ago Updated 1 year ago
image

Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine.

What is the CPT code for Medicare flu vaccine?

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

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.

Which diagnostic code is for a flu shot?

ICD-10 Code: Z23 Get payment allowances & effective dates for the 2021-2022 season.

What is the ICD 10 code for flu vaccine?

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 difference between G0008 and 90471?

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 are the Medicare vaccine administration codes?

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.

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 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).

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9