Medical Billing Tips | Billing for the H1N1 Swine Flu Vaccine

Health Insurance Companies Process 1 in 5 Claims Wrong

Medical Billing Tips Video Podcast
Coding for the H1N1 Swine Flu Vaccine
Episode 1

This episode of Medical Billing Tips helps physicians and medical billers to bill for the H1N1 Swine Flu Vaccine.

Video Transcript & Show Notes

Ouch! I just got the Swine Flu Shot officially known as the H1N1 vaccine. There’s been a lot of confusion on how medical practices should bill for the H1N1, so let’s find out how they should.

Since the government is providing the vaccine you won’t be able to bill for it, but you are allowed to charge for administering the vaccine. Use CPT code 90470 this includes the administration and counseling for either intramuscular or intranasal versions of the vaccine.

The CPT code for the H1N1 vaccine is 90663, Medicare of course has come up with their own code, G9141 for the admin and G9142 for the vaccine.

The ICD-9 or diagnosis code should be V04.81. Even though the vaccine is provided for free, some insurers want you to code for the vaccine and some don’t. If you do code for it submit a fee of zero and be aware that some insurers have announced that a patient will not have to pay a co-pay or co-insurance, and you can now code an additional 99211 for a nurse visit.

Check with your insurance carriers, Medicare and Medicaid for specific billing requirements. My name is Manny Oliverez and this has been the Medical Billing Tips podcast.

3 Responses to “Medical Billing Tips | Billing for the H1N1 Swine Flu Vaccine”

  1. Hello,
    Can you provide the reimbursement for the flu vaccine for 2019? Medicare and commercial insurance numbers are needed.
    Thank you.



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