Internal Medicine Coding Alert
Consider Payer Differences on Flu Shot Claims
Question:
Delaware Subscriber
Answer: It absolutely depends on the payer. When you choose codes for the vaccine administration, remember that coding depends on whether the patient has Medicare insurance.For private carriers, report the following codes:
• 90471 (Immunization administration [includes percutaneous, intradermal, subcutaneous, or intramuscular injections]; one vaccine [single or combination vaccine/toxoid]) for the flu shot.
• 90658 (Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use) for the flu vaccine supply.
Remember Medicare G code:
When the internist provides a Medicare patient with flu vaccine, report the following:• G0008 (Administration of influenza virus vaccine) for the administration
• 90658 for the vaccine.
Internal Medicine Coding Alert
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