| Code | Labeler Name | Drug Name |
|---|---|---|
| 90662 | Sanofi Pasteur | Fluzone High-Dose (2019/2020) |
| 90672 | MedImmune | FluMist Quadrivalent (2019/2020) |
| 90674 | Seqirus | Flucelvax Quadrivalent (2019/2020) (Pres Free) |
| 90682 | Sanofi Pasteur | Flublok Quadrivalent (2019/2020) |
What is CPT code for flu shot for Medicare?
dose influenza vaccine (90662) and Medicare required HCPCS for its administration (G0008). Attach ICD-10 code Z23 to both.
Does Medicare pay CPT 90662?
There are two flu vaccines called Fluzone: Fluzone and Fluzone High-Dose. Fluzone is billed using CPT 90658, whereas Fluzone High-Dose is billed using CPT 90662. Per the Food and Drug Administration's approved labeling, Fluzone High-Dose is only covered by Medicare for beneficiaries age 65 or older.
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.
How do I bill Medicare with a flu shot?
You may use roster billing format, or submit individual claims using the CMS-1500 form (PDF) or the 837P electronic format. CMS systems will accept roster bills for 1 or more patients that get the same type of shot on the same date of service.
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
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.
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.
Does CPT G0008 require a modifier?
Expert. Francynesmith said: I too was told the same thing by Medicare - G0008 must have a modifier when billed with multiple vaccines.
What is procedure code G0008?
Influenza HCPCSHCPCS / CPTDescriptionG0008Administration of influenza virus vaccine (allowable same as90653Influenza virus vaccine, inactivated, subunit, adjuvanted, for intramuscular use10 more rows•Oct 13, 2021
What is the CPT code 90686?
CPT® Code 90686 in section: Influenza virus vaccine, quadrivalent.
How do I bill CPT 90471?
o CPT 90471 and CPT 90473 should be used when there is no face-to-face counseling associated with the vaccine administration. CPT 90471 and CPT 90473 must be billed with a unit value of “1.” Code the vaccine product code with the applicable diagnosis code and the EP modifier.
Is CPT 90658 still valid?
CMS has created new HCPCS codes and payment allowances to replace 90658 (Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use). Medicare will no longer pay for 90658 effective Jan.