Practice Management Alert

Reader Questions:

Don’t Worry About Vaccine Brand Name

Question: I am looking for a CPT® code for the Fluarix flu shot but can only find the code for the state shot. Should I use this?

AAPC Forum Participant

Answer: Don’t worry about the brand name of a vaccine. Focus, instead, on its components. GSK offers the following coding guidance for its Fluarix vaccine:

  • Immunization administration through 18 years of age with counseling by physician or other qualified healthcare professional.
    • 90460 (Immunization administration via any route, first vaccine/toxoid component
  • Immunization administration of any vaccine for a patient through 18 years of age that is not accompanied by counseling, or for administration of vaccines to patients over 18 years of age.
    • 90471 (Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
    • +90472 (Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), each additional vaccine (single or combination vaccine/toxoid)
      (List separately in addition to code for primary procedure)

Find more information here: https://gskpro.com/en-us/therapy-areas/vaccines/coding/gsk-vaccines/fluarix-quadrivalent/.