What is the CPT code for Medicare flu vaccine?
What is the CPT code for Medicare flu vaccine?
Medicare requires use of HCPCSd codes for the administration of the vaccines that they cover preventively, including influenza vaccine. HCPCS code G0008 must be used when billing Medicare for the administration of influenza vaccines, regardless of patient age or provider counseling.
What is CPT code Q2038?
Flu Shot Coding
| Administration & Diagnosis Codes | Vaccine Codes & Descriptors |
|---|---|
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
| Q2039 | Influenza virus vaccine, not otherwise specified |
| G0008 | Administration of influenza virus vaccine |
Does Medicare cover 90658?
Per the Food and Drug Administration’s approved labeling, Fluzone High-Dose is only covered by Medicare for beneficiaries age 65 or older. Medicare’s reimbursement is $11.37 for Fluzone, CPT 90658. Recently, CMS published that $29.21 as the current fee schedule for Fluzone High-Dose, CPT 90662.
What does CPT code 90471 mean?
Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.
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.
How do I bill for Flu Shot 2020?
How to Bill Flu Shots
- 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
- G0008 Administration of Influenza Virus Vaccine.
Is CPT 90658 still valid?
CPT Code Short Description Long Description However, these HCPCS codes will ot be recognized by the Medicare claims processing systems until January 1, 2011, when CPT code 90658 will no longer be recognized.
Does Medicare reimburse G0008?
These three codes should be reimbursed at the same rate as the HCPCS code 90782 as priced on the Medicare Physician Fee Schedule Database. Effective March 1, 2003 HCPCS codes G0008, G0009, And G0010 should be reimbursed at the same rate as HCPCS code 9047.
Does G0008 need a modifier?
I too was told the same thing by Medicare – G0008 must have a modifier when billed with multiple vaccines. G0009 = 90732.
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.