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what is aetna medicare cpt for administartation flu shot

by Coy Kling Published 2 years ago Updated 1 year ago
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What is the CPT code for administration of the flu vaccine?

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.

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.

What is CPT G0008?

HCPCS / CPT. Description. G0008. Administration of influenza virus vaccine (allowable same as. 90653.

What is the admin code for CPT 90686?

CPT® Code 90686 - Vaccines, Toxoids - Codify by AAPC.

Does Medicare pay for CPT 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.

Does Medicare pay for CPT code G0008?

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 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 difference between 90471 and 90472?

90471 One vaccine, single or combination vaccine/toxoid. Immunization administration (includes percutaneous, intradermal, subcutaneous or intramuscular injections). 90472 Each additional vaccine, single or combination vaccine/toxoid.

How do you code vaccine administration?

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.

Can 90471 and 96372 be billed together?

It cannot be billed with 96372, 90460, 90471, etc. Also do not bill 99211 for the interpretation.

What is the difference between CPT code 90460 and 90471?

The 90460 code is used when a physician is present and performs face-to-face counseling to the caregiver or parent. This code can only be used for patients through age 18. Code 90471 is used when the drug is administrated by a medical assistant or nurse and the patient does not see the physician at all.

What is the CPT code for Flu Vaccine 2021?

Payment Allowances and Effective Dates for the 2021-2022 Flu Season:CodeLabeler NameVaccine Name90662Sanofi PasteurFluzone High-Dose Quadrivalent (2021/2022)90672MedImmuneFluMist Quadrivalent (2021/2022)90674SeqirusFlucelvax Quadrivalent (2021/2022) (Pres Free)90682Sanofi PasteurFlublok Quadrivalent (2021/2022)6 more rows•Dec 22, 2021

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