AMA Releases Vaccine Code Changes
- By Renee Dustman
- In Coding
- July 13, 2017
- Comments Off on AMA Releases Vaccine Code Changes
The American Medical Association (AMA) recently posted a short list of new and revised vaccine codes on their website. These codes are effective July 1, 2017, and will appear in the CPT® 2018 codebook:
90587 Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use
- This is a new code, pending FDA approval.
90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB4C), 2 dose schedule, for intramuscular use
- This is a revised and resequenced code.
90621 Meningococcal recombinant lipoprotein vaccine, serogroup B (MedB-FHbp), 2 or 3 dose schedule, for intramuscular use
- This is a revised and resequenced code.
90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavolent (9vHPV), 2 or 3 dose schedule, for intramuscular use
- This is a revised code.
New Code for 2018
CPT® code 90756 Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use was accepted by the CPT Editorial Panel at the June 2017 meeting for the 2018 production cycle.
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Informative and excellent presentation
Thank you for the information. We are advised that this code 90756 can now be used for Commercial payers? but not yet for Medicare patients. Can you please clarify?
It is my understanding the Q2039 is can be used for both of Medicare and Commercial Payers as for Seniors and Non-Seniors.
Thank you,
Myrin Jayme, CPC
310-719-8564/714-679-8579
Hello,
CPT 90756 only applies to Seqirus’ Flucelvax Quadrivalent influenza vaccine that comes in the multi-dose vial. The pre-filled syringes are still preservative-free and should be coded as 90674.
Thanks,
Erica
Thank you for the information about Flucelvax. Let me clarify. We have Sequirus Flucelvax quadrivalent prefilled 0.5 syringes. Will we bill Medicare with 90674 with an administration code of G0008? How about Blue Cross Blue Shield? What is the CPT for the medicine and the CPT for administration? I really appreciate it!
I’m sorry, I didn’t clarify in my previous comment that we are a family Medicine Clinic. How do we bill Medicare and BCBS (commercial) for Sequirus Flucelvax quadrivalent pre filled syringes? thank you!
Hello,
I am sorry, I too still confuse on which Flu Vac 90674 and 90756 for Non-MAC. There was a clear write up between the relation of 90756 & Q2039, but nothing published on Commercial insurances billing portion.
Please HELP clarify??
Hello!
To my understanding on the FlucelVax Quad – the cpt would be 90749 (multi-dose vials) thorough 12/31/2017 for commercial insurances. For Medicare and Medicare Advantages it would be Q2039.
For single dose syringes it would be 90674.
On 01/01/2018 the code would change to 90756 (multi-dose vials) for all payors.
Is this correct?
Does anyone get paid code 90749 for commercial insurance?
Was anyone able to confirm that 90749 is acceptable for commercial insurances through 12/31/2017?
Clarification: Are w able to bill the 90756 for commercial insurances in lieu of the 90749. In helping the biller in my office I wanted to keep this as clear as possible for 17’18 season.
I’m a Practice Mgr in an Allergy Practice and have had a terrible time trying to get paid for Flucelvax using 90749 (and Q2039 for MC pts). Any advice would be greatly appreciated.
is there a different admin code for the new 2018 flu code 90756?