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Thread: High dose flu vaccine

  1. #1

    Default High dose flu vaccine

    AAPC: Back to School
    There is a new flu vaccine for 65 and older with a higher dose this year. Does anyone know if this is billed under a different CPT than the regular?

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Lisa Bledsoe, CPC, CPMA

  3. #3


    Hi Lisa-
    Have you recived payment for this cpt code yet?
    Brenda Amaro, CPC

  4. #4
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Quote Originally Posted by BRENDA28 View Post
    Hi Lisa-
    Have you recived payment for this cpt code yet?
    I'm not Lisa , but I do know that CMS has a hold on that CPT code, per the following:
    Medicare Part B
    Holding Claims Containing CPT 90662

    CMS is changing the status indicator for CPT code 90662 from "E" to "L" in the October 2010 Integrated Outpatient Code Editor (IOCE). This affects claims with dates of service on and after December 23, 2009, and before October 1, 2010.

    CMS is instructing contractors to hold claims submitted during this period and to release them for processing after the implementation of the October 2010 IOCE. There is no action for providers to take on claims containing CPT code 90662 that are held because the IOCE will be updated. If a provider is aware of claims that were processed in error before the claims hold began, the provider should request its contractor to adjust the claims.

    Source: JSM/TDL 10389 dated August 16, 2010

    Posted: 8/17/2010

    So, if you are already administering the high dose shots, they should be held; if processed and denied you need to request your contractor adjust the claims.

    Hope this helps!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  5. #5


    Very good. We have them but will wait on billing.
    Thank You Very Much!
    Brenda Amaro, CPC

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