AMA Releases Vaccine Code Changes

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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During the interim period of August 1, 2017, through December 31, 2017, MACs will use code Q2039 (Influenza virus vaccine, not otherwise specified) to handle bills for this new influenza virus vaccine product (Influenza virus vaccine, quadrivalent (ccIIV4). Q2039 is already an active code. (MM10196 Revised)


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Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 30 years' experience in journalistic reporting, print production, graphic design, and content management. Follow her on Twitter @dustman_aapc.

No Responses to “AMA Releases Vaccine Code Changes”

  1. Ruth Muench says:

    Informative and excellent presentation

  2. Myrin Jayme says:

    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

  3. Erica Schwalm says:

    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.

  4. Constance says:

    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!

  5. Constance says:

    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!

  6. Myrin Jayme says:

    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??

  7. Michele Martin says:

    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?

  8. Jenny says:

    Does anyone get paid code 90749 for commercial insurance?

  9. danielle says:

    Was anyone able to confirm that 90749 is acceptable for commercial insurances through 12/31/2017?

  10. Christine says:

    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.

  11. Lynne says:

    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.

  12. MICH H says:

    is there a different admin code for the new 2018 flu code 90756?