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New Flu vaccine codes for 2010

  1. Default New Flu vaccine codes for 2010
    Medical Coding Books
    Can anyone give me some insight as to the new CPT codes for the 2010 Flu vaccines? We are getting conflicting information regarding which codes to use for this years' flu vaccine. We are being told that the flu vaccine for this year is suppose to include H1N1 so would we be using the same codes that we would use for the regular flu codes each year and if so, why are there four new codes approved for use eff 7/1/10? : 90664,90666,90667 & 90668 - the description of these codes state influenza vaccine,pandemic formulation...
    Any information you could give me would be greatly appreciated
    Robyn Serino, CPC
    Pembroke, Massachusetts

  2. Smile 90664-90668
    It is my understanding that these new codes are for pandemic strains only. If they were available for last years H1N1 we would have used them. This year H1N1 is incluisive with the seasonal flu vaccine but that does not mean the seasonal flu needs to be labled as a pandemic vaccine. It still is a seasonal vaccine and we should still be using 90655-90660. We probably will not use 90664-90668 until the next pandemic is identified unless H1N1 is given as a monovalent and not as part of the seasonal vaccine.
    Can anyone verify this???
    Thanks
    Dianne
    Norfolk VA
    Last edited by lemmde; 08-13-2010 at 09:16 AM. Reason: signage

  3. #3
    Default
    The Swine Flu is not included in the "Normal Flu" Not that the Flu is normal.



    H1N1 Swine Flu
    ICD -9 -----V04.81
    E&M -------99499
    VACCINE ---90663
    ADMIN ------90470

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    why the unlisted E&M? If the reason for the encounter is a vaccine then there is no E&M charge
    HiNi vaccine is non chargeable as the vaccine is provided free of charge. Some payers want it listed with either a $0 or $.01 charge. This may be where the first poster received conflicting info. The admin code is the 90470 and is an initial code so if you give two vaccines then the second is coded with 90472.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default
    ▲90663 Influenza virus vaccine, pandemic formulation, H1N1
    ��90470 H1N1 immunization administration (intramuscular, intranasal), including counseling when performed

  6. #6
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    We have been using G9142 (zero charge) for the vaccine (H1N1 vaccine, any route of administration) and G9141 (immunization administration; includes the physician counseling the patient/family). We have not encountered any problems with commercial insurance.
    Lisa Bledsoe, CPC, CPMA

  7. Talking 90664-90668
    The new 90664-90668 are for pandemic vaccines. It is no longer appropriate to bill 90663.

    The fact that H1N1 is one of the 3 strains in the 2010-2011 seasonal vaccine does not make it a "pandemic vaccine". 90655-90660 are to be used for seasonal flu vaccines for the 2010-2011 season.

  8. #8
    Location
    Greeley, Colorado
    Posts
    2,045
    Exclamation G9141 and G9142
    These are the appropriate codes
    Lisa Bledsoe, CPC, CPMA

  9. #9
    Default
    According to the AMA 90663 was specifically revised to include the H1N1 immunizationand should be used for the vaccine itself. The American Medical Association (AMA) announced the publication of a new code specific to vaccine administration and revised existing code 90663 to include the H1N1 vaccine.
    And yes for seasonal Flu 90655-90660 are to be used.
    The regular flu is not included with the H1N1 they are separate administrations and have seperate codes

    Erica Barden,CPC
    Last edited by mamabird52803; 08-17-2010 at 10:34 AM.

  10. #10
    Default Vaccine info
    Quote Originally Posted by rhs281 View Post
    Can anyone give me some insight as to the new CPT codes for the 2010 Flu vaccines? We are getting conflicting information regarding which codes to use for this years' flu vaccine. We are being told that the flu vaccine for this year is suppose to include H1N1 so would we be using the same codes that we would use for the regular flu codes each year and if so, why are there four new codes approved for use eff 7/1/10? : 90664,90666,90667 & 90668 - the description of these codes state influenza vaccine,pandemic formulation...
    Any information you could give me would be greatly appreciated
    Robyn Serino, CPC
    Pembroke, Massachusetts
    I thought I still had the updated codes in my email from the CDC but I don't I've already transferred them to my CPT and I'm not close to my books right now. Here a link you can try for the CDC:
    www.cdc.gov/search.do?action=search&subset=nip&queryText=codin g+for+h1n1
    KL
    CCS, RHIT, CPC, CMBS

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