To correctly code for influenza, the clinician should document the type and manifestations of the virus. There are three types of influenza virus: A, B, and C. Types A and B can cause seasonal epidemics in the United States, whereas type C causes mild respiratory illness and is not thought to cause epidemics, according to ...
Sep 9th, 2015
School is in session, and you know what that means: Flu and cold season is off and running! Patients will soon be coming to your physician office in droves to receive their influenza and, possibly, pneumococcal vaccines. Below are the 2015-2016 payment allowances for the listed CPT® and HCPCS Level II Q codes when payment is ...
In Billing
Feb 16th, 2015
by: Susan Theuns, PA-C, CPC, CHC Consistent with recent Advisory Committee on Immunization Practices (ACIP) recommendations, the Centers for Medicare & Medicaid Services (CMS) has updated its coverage for Pneumococcal Vaccinations from a “once in a lifetime benefit” to a two vaccine benefit. The new coverage was effective February 2, 2014 and can be applied retroactively ...
Dec 22nd, 2014
Influenza is constantly developing new viral strains, which in turn requires the constant development of updated flu vaccines. To keep up, the AMA publishes new and revised vaccine codes twice per year, and when required for emergent/critical distribution. Two new influenza vaccine codes are available for use Feb. 1, 2015: 90620 Meningococcal recombinant protein and ...
Oct 14th, 2014
For administration of the influenza vaccine to Medicare beneficiaries, report HCPCS Level II code G0008 Administration of influenza virus vaccine. This code bypasses deductible and coinsurance amounts for beneficiaries. In an October 10 web post, Cahaba GBA warns, “We have seen providers bill CPTs 90741, 90472, and 90743 for the administration of the influenza vaccine. ...