With the flu season among us, it is important to remember that the Centers for Medicare & Medicaid Services covers the flu vaccine and administration for eligible Medicare patients at no out-of- pocket cost under Medicare Part B.
Specifically, Medicare provides coverage for one flu vaccine per influenza season. Medicare may cover additional seasonal influenza virus vaccinations if medically necessary. The vaccination codes are as follows.
Common Vaccine Codes:
90654- Influenza virus vaccine, Split Virus, preservative free, for intramuscular use
90656- Influenza virus vaccine, Trivalent, Split Virus, preservative free, for intramuscular use
90686- Influenza virus vaccine, Quadrivalent, Split Virus, preservative free, for intramuscular use
90688- Influenza virus vaccine, Quadrivalent, Split Virus, for intramuscular use
Q2034- Influenza virus vaccine, Split Virus, for intramuscular use (Agriflu)
Q2035- Influenza virus vaccine, Split Virus, for intramuscular use (Afluria)
Q2036- Influenza virus vaccine, Split Virus, for intramuscular use (Fluaval)
Q2037- Influenza virus vaccine, Split Virus, for intramuscular use (Fluvirin)
Q2038- Influenza virus vaccine, Split Virus, for intramuscular use (Fluzone)
Q2039- Influenza virus vaccine, Split Virus, for intramuscular use (Not otherwise specified)
Administration Code: G0008
Diagnosis Code: V04.81
If you have any medical billing questions relating to the billing of the common vaccine codes, please don’t hesitate to contact us. Office: 314.787.0681 or info@precisionpractice.com
