Seasonal Influenza Vaccines/Flu Shots Billing
Now that the flu season is here, don’t forget to note the recent changes in billing Medicare for the flu vaccine.
To report the flu vaccine for Medicare patient use the following codes.
Medicare Vaccine Codes
Q2035 (Afluria)
Q2036 (Flulaval)
Q2037 (Fluvirin)
Q2038 (Fluzone)
Q2039 (Not Otherwise Specified)
Vaccine Codes
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 of age and older, for intramuscular use)
90657 (Influenza virus vaccine, split virus, when administered to children 6-35 months of age, for intramuscular use)
90658 (Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use)
When billing for the flu vaccine there are two parts. The first part to bill is the fee to inject the vaccine. The second is the fee for the actual vaccine. It should look as follows
Medicare
G0008 (Administration Code)
Q2036 (Choose appropriate vaccine code)
V04.81 (Diagnosis)
Private Insurance
90471 (Administration of vaccine)
90658 (Choose appropriate vaccine code)
V04.81 (Diagnosis)
For more information on Medicare flu vaccine billing requirements visit http://www.cms.gov/MLNMattersArticles/downloads/MM7234.pdf .
This information was provided by Mylikia Ross Franklin, Certified Medical Billing Specialist/ Divine Medical Billing, Inc. To contact Mylikia, visit http://www.divinemedicalbilling.com or call (888) 292-8948.
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