Influenza Vaccine

dnm4345

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Ocala
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I'm trying to see if anyone knows of another code for the flu vaccine. I thought as of the first of the year we were to replace 90658 with Q2035? Also, when I look this code up on the Medicare website it says it's not payable. Is anyone else having this problem? Any solutions?
 

emroberts

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Austin, TX
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I work in a pediatric practice, and we bill 90657-flu vaccine ages 6months to 35 months, 90658-flu vaccine 3 years and older, and 90660-flu mist. As far as I know, all of these codes are the same as last year, and we are already using them. Do you work in physician or facility coding? Perhaps there is a difference... Hope this helps!
 

MEDASSURE

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New flu codes are for the exact antigen you are using. Per Medicare as of Jan 1, 2011 new flu codes are as follows:

Q2035 Afluria "influenza virus vaccine, split virus, when administered to individuals 3 years of age or older, for intramuscular use"

Q2036 Flulaval "influenza virus vaccine, split virus, when administered to individuals 3 years of age or older, for intramuscular use"

Q2037 Fluvinin "influenza virus vaccine, split virus, when administered to individuals 3 years of age or older, for intramuscular use"

Q2038 Fluzone "influenza virus vaccine, split virus, when administered to individuals 3 years of age or older, for intramuscular use"

Q2039 "influenza virus vaccine, split virus, when administered to individuals 3 years of age or older, for intramuscular use" NOT OTHERWISE SPECIFIED
 

loughary

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Can anyone tell me about the codes for regular commercial insurance companies. Do we use the same codes as the Medicare codes in addition to the G0008.
 

dnm4345

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Ocala
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Reply

We've had the same problem. The Q code isn't payable in Florida. I've yet to find a solution.
 

Cherish79

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We are in Florida. We bill Q2036 for the actual vaccine and G0008 for Medicare patients for the administration and 90471 for all others. I haven't seen any denials for non-payment or non-covered as of yet, but it is still early!
 
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