Medical Billing Guidelines

Watch the coding for Medicare flu shots video and learn that as of January 1, 2011 if you bill Medicare CPT Code 90658, for the Influenza Virus Vaccine, you will not get paid. Medicare has established five separate influenza vaccine Q Codes to distinguish between the brand-names of influenza vaccines.

The HCPCS code G0008 Administration of Influenza Virus Vaccine must still be used for the administration of the flu vaccine for Medicare patients.

What are the New Influenza Vaccine Codes?

Q2035 Afluria Vaccine

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Afluria)

Q2036 Flulaval Vaccine

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Flulaval)

Q2037 Fluvirin Vaccine

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluvirin)

Q2038 Fluzone Vaccine

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)

Q2039 NOS (Not Otherwise Specified) Vaccine

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Not Otherwise Specified)

Additional information direct from Medicare on medical billing for influenza vaccines can be found at: http://www.cms.gov/MLNMattersArticles/downloads/MM7234.pdf

--- This post Medicare: Video Helps Explain Influenza Vaccine Q Codes was written by Manny Oliverez and first appeared on CaptureBilling.com - Medical Billing Services. Capture Billing is a medical billing company helping medical practices get their insurance claims paid faster, easier and with less stress allowing doctors to focus on their patients.