Pulmonology Coding Alert

READER QUESTIONS :

Organize Flu Vaccines by Method and Payer

Question: We currently have an onslaught of patients requesting flu vaccines and I am concerned that I may be confusing which vaccine and administration codes I should be using. Can you do a quick review of the codes and when to use them? Texas Subscriber Answer: There are three vaccine codes to focus on: 90656 (Influenza virus vaccine, split virus, preservativefree, when administered to individuals 3 years and older, for intramuscular use), 90658 (Influenza virus vaccine, split virus, when administered to individuals 3 years and older, for intramuscular use), and 90660 (Influenza virus vaccine, live, for intranasal use). \Youll probably report 90656 more frequently than 90658. Code 90658 refers to a standard split-virus vaccination usually packaged in multi-dose vials that physicians use less frequently. Thats the only difference between the first two codes. Remember to check the documentation or the vaccines packaging to determine which type of the first two [...]
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