The influenza virus vaccine and pneumococcal pneumonia vaccination (PPV) are billed on a 341 type of bill (home health outpatient Part B benefit).
The beneficiary must be eligible for Medicare Part B to receive reimbursement for these services.
- Children, ages 6-35 months
90655 - Influenza virus vaccine, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use - Children, ages 0 months through age 18.99
90660 – Influenza virus vaccine, live, for intranasal use
90670* - Pneumococcal conjugate, 13 valent, for intramuscular use
*Replaces 90669 7/1/2010 - Children, ages 2+
90656 - Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use
90658 - Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use
90732 - Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use - Children, under age 9
Reimbursement for administration of both doses of seasonal influenza are eligible in the following situations as indicated by HEALTH:
If they did not receive H1N1 flu vaccine last year*
First time ever receiving flu vaccine*
Received seasonal flu last year, but only one dose was administered - Adults 19-65*
90656 - Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use
90658 - Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use
90660 – Influenza virus vaccine, live, for intranasal use (members aged 19-49 only)
90732 - Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use
*Members who are enrolled on Extended Family Planning (EFP) benefits are not eligible. - Vaccine Administration Coding (under 8 years) 90465 – Initial IM
90466 - Subsequent IM (add-on code)
90467 – Initial oral/nasal
90468 – Subsequent oral/nasal (add-on code)
90465 & 90467 will bundle when billed together on the same day and deny. - Vaccine Administration Coding (all ages)
90471 - Initial IM
90472 – Subsequent IM (add-on code)
90473 – Initial oral/nasal
90474 – Subsequent oral nasal (add-on code)
90471 & 90473 will bundle and deny if billed together on the same day
Post a Comment
Webmaster reserves the rights to edit/remove comments that is found irrelevant, offensive, contain profanity, serves as spam or attempts to harbor irrelevant links. Please read our Comments Policy for details.
Click to see the code!
To insert emoticon you must added at least one space before the code.