Wiki Billing for Flu vaccine CPT codes?

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Daveokad

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The insurance companies keep rejecting the CPT codes for the flu vaccines I submit.

So I wanted to know what the right way was for billing for CPT codes 90655, 90656 and 90660 (which is the flumist)

Or do I always have to indicate the prophylaxis code in the ICD 9 section which is V04.81? Because I haven't exactly been doing that.
 
Hi. What administration codes should I use for the flu vaccine? We use Fluvirin which is Q2037. For Medicare, I bill a G0008 but what about private pay? Should I be using 96372?

Any help is appreciated. Thank you!
 
ReginaR said:
Hi. What administration codes should I use for the flu vaccine? We use Fluvirin which is Q2037. For Medicare, I bill a G0008 but what about private pay? Should I be using 96372?

Any help is appreciated. Thank you!
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No - 96372 is for drug administrations (J-codes) only - Vaccine admins for commercial payers should be billed with either 90471 (when no counseling is provided, and for all patients over age 18) or 90460 for patients under 18, when counseling is provided.

Hope that helps! ;)
 
Ok what about if I was billing the flu vaccine with sick visit codes? Do I still note the v04.81 code along with the sick visit codes?
 
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