CPT® 2012 Primer:
Rejoice the Addition of a New Flu Vaccine Code, New Preventive Services Modifier
Published on Thu Nov 17, 2011
Caveat: You're already using both the code and the modifier. You may be cheering the addition of a new flu vaccine code and a new modifier in CPT® 2012, but once you read the fine print, the "new" code may reflect "old" news.Find 90654 in the 2012 ManualThe AMA introduced code 90654 (Influenza virus vaccine, split virus, preservative-free, for intradermal use) effective Jan. 1, 2011, but it was too late to make it into the 2011 CPT® manual, says Jill M. Young, CPC, CEDC, CIMC, with Young Medical Consulting LLC in East Lansing, Mich. Therefore, the code makes its first appearance in CPT®2012, even though you've probably already reported it.Background: Even though the code was added "effective January 1, 2011," it didn't become payable by Medicare until May 9, 2011, MLN Matters article 7580 explains. In fact, MACs didn't reimburse for 90654 until May 9, 2011, notes article MM7580, which [...]