How do I bill a flu shot for Medicare?
Administration of influenza virus vaccine Medicare requires HCPCS code G0008 when billing for the administration of any influenza vaccine, regardless of the patient’s age or which provider counseled.
What is the CPT code for quadrivalent flu vaccine?
For 2021-2022, 100% of the projected vaccine supply produced will be quadrivalent (4-component) vaccines….CPT and NDC codes for the 2021-2022 Influenza Vaccine Products.
| CPT Codes | NDC codes |
|---|---|
| 90682 | Flublok Quadrivalent: 49281-0721-10, 49281-0721-88 |
How do I bill for flu Shot 2020?
Coding 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. Code according to the product you are using to accurately bill for flu vaccine.
What is the CPT code for Flu Vaccine 2020 2021?
Payment Allowances and Effective Dates for the 2020-2021 Flu Season:
| Code | Labeler Name | Vaccine Name |
|---|---|---|
| 90688 | Sanofi Pasteur Seqirus | Fluzone Quadrivalent (2020/2021) Afluria Quadrivalent (2020/2021) |
| 90756 | Seqirus | Flucelvax Quadrivalent (2020/2021) |
Can we code 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?
G0008. Administration of influenza virus vaccine.
What is the ICD-10 code for flu?
Influenza due to identified novel influenza A virus with other respiratory manifestations. J09. X2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Can you bill G0009 and 90471 together?
Description of HCPCS code G0008, G0009, G0010 & CPT code 90471, 90472, 90473, +90474. The HCPCS administration codes and the vaccine codes have a one-to-one relationship and are always paired together. Rules for reporting initial or subsequent vaccines do not apply.
What is the age limit for CPT 90471?
19 years of age or older
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. This code would also be used for any patient 19 years of age or older regardless if physician is present and does face-to-face counseling.
Is modifier 25 needed for immunizations?
When an evaluation and management service (other than a preventive medicine service) is provided on the same date as a prophylactic immunization, modifier -25 may be appended to the code for the evaluation and management service to indicate that this service was significant and separately identifiable from the …