Internal Medicine Coding Alert

Reader Questions:

What Product Code for Swine Flu Vaccine?

Question: Some patients are requesting that they receive the H1N1 flu vaccine this fall. What product code would we use?

New York Subscriber

Answer: You would report the H1N1 flu product with the general pandemic vaccine code 90663 (Influenza virus vaccine, pandemic formulation), according to an AMACPT Category 1 Vaccine Codes clarification. "The appropriate immunization administration code (90465-90474) may be reported in conjunction with 90663 for the administration of the vaccine, depending on the route of administration and the age of the patient," states the update available at www.ama-assn.org/ama1/pub/upload/mm/362/vaccine-codes.pdf.

Beware: The Federal Drug Administration has not yet approved the swine flu vaccine, which is not included in the traditional influenza vaccines. Therefore, 90663 is not listed on the 2008 Average Sales Price file.

Other Articles in this issue of

Internal Medicine Coding Alert

View All