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Influenza 2011-2012

Gerri Posted Wed 02nd of November, 2011 13:35:52 PM

We are again providing Fluzone to our patients this year, last year we used CPT 90666 and from everything I've researched, it's still a valid CPT but...we received information from Sanofi that states to use 90656 this year. Can you provide any insight?

Thanks !

SuperCoder Answered Wed 02nd of November, 2011 19:00:05 PM

CODING FLU SHOTS TO MEDICARE
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1.Choose the Q code or CPT code that is appropriate for the brand of vaccine you are giving or the special circumstances (pediatric dose, regular dose, high dose, preservative free, etc.)
2.Use the Administration Code G0008
3.Use the Diagnosis Code: V04.81

&
Choose one code for the vaccine:
90655 Influenza virus vaccine, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use
90656 Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use
90657 Influenza virus vaccine, split virus, when administered to children 6-35 months of age, for intramuscular use
90660 Influenza virus vaccine, live, for intranasal use
90662 Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use
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Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Afluria)
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Flulaval)
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluvirun)
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)
Q2039 Influenza virus vaccine, split virus, when administered to individuals3 years of age and older, for intramuscular use (Not Otherwise Specified)
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