Liza5418
Guest
Hi everyone, this is my first time on the forum. Does anyone out there know what codes to use to bill out the new Influenza/H1N1 vaccination? CDC is saying one thing, and payors are saying something else.
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Wiki The new Influenza/H1N1 vaccine
- Thread starter Liza5418
- Start date
espforu
Guru
Are you talking about the high dose influenza or the combination of influenza and H1N1. I work for a state health department and have not heard of the combo code, but I under stood that the H1N1 was going to be in the flu shot.
Liza5418
Guest
It is the combination (Influenza & H1N1).
Lisa Bledsoe
True Blue
It is my understanding that all influenza vaccines now also contain H1N1 so the codes are the same as last year for the influenza vaccines.
meggleston
Guest
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Influenza/H1N1
I checked on line and the code is 90662 (Fluzone High-Dose) for 65 yrs and over I believe the Medicare allowed amount is $29.21.
I checked on line and the code is 90662 (Fluzone High-Dose) for 65 yrs and over I believe the Medicare allowed amount is $29.21.
cmcgarry
Guest
Only the high dose for 65 and older is 90662; and currently, that code is being held by Medicare until after the updates on 10/01/10.
The seasonal flu shot this year includes H1N1 and two others (it always includes three), so you would use the regular flu shot codes (90655-90658, depending on formulation, age, preservative free, etc.).
You would not use the pandemic codes - those are now reserved for any future pandemic that would be given separately from the seasonal flu vaccine.
Also, I have a suggestion for those who are new to the forums. There is a search function. During the past couple of months, there have been many posts and responses about the flu shots. If you search by key words such as influenza, H1N1, flu, etc, you could find the other posts. This is not to be in any way critical. When I have a question, I always do a search first, in case it's already been asked and answered.
I hope this helps!
Liza5418
Guest
Thanks to all for the info. Good tip on the search.
cmcgarry
Guest
90660 is not the administration code, but the code for the actual intranasal vaccine itself. For the administration intranasally, your code would be 90473 if the initial or only vaccine, 90474 for subsequent.
aclements
Networker
high dose flue
Are we still to use the diagnosis code V04.81 (vaccination for influenza) on the high dose flu. I have heard some coders using V04.89 (other viral vaccination). My understanding is that it is still an influenza vaccination just a stronger dose.
Please advise,
Angie
Are we still to use the diagnosis code V04.81 (vaccination for influenza) on the high dose flu. I have heard some coders using V04.89 (other viral vaccination). My understanding is that it is still an influenza vaccination just a stronger dose.
Please advise,
Angie
aclements
Networker
high dose flu
Are we still to use the diagnosis code V04.81 (vaccination for influenza) on the high dose flu. I have heard some coders using V04.89 (other viral vaccination). My understanding is that it is still an influenza vaccination just a stronger dose.
Thank you,
Angie
Are we still to use the diagnosis code V04.81 (vaccination for influenza) on the high dose flu. I have heard some coders using V04.89 (other viral vaccination). My understanding is that it is still an influenza vaccination just a stronger dose.
Thank you,
Angie
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