What Is Cpt Code 90688

90688 - CPT® Code in category: Influenza virus vaccine, quadrivalent. CPT C

ode information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.

HCPCS/CPT Codes Get the most up to date list of billing codes, payment allow

ances and effective dates for the 2020–2021 flu season.

The Medicare Part B payment allowance limits for seasonal influenza and pneu

mococcal vaccines are 95% of the Average Wholesale Price (AWP) as reflected in the published compendia except where the vaccine is furnished in a hospital outpatient department. When the vaccine is furnished in the hospital outpatient department, payment for the vaccine is based on reasonable cost.

CPT Code. Description. Ages. 90581. Anthrax vaccine. 6 weeks - 18 years. 905

86. Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer6 weeks - 18 years. 90644. Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenza type b vaccine (Hib-MenCY), 4 dose schedule6 weeks - 3 years

Influenza codes revised 2016 (Age of patient) Jan. 1, 2017 (Dosage) 90655, 9

0657, 90685, 90687 6-35 months 0.25 mL dosage 90656, 90658, 90686, 90688 Older than 3 years 0.5 mL dosage

Procedural Coding Expert: The Ultimate Guide to CPT Coding 2014. TIP If repo

rting multiple vaccine administrations given to a patient through age 18 years on the same date along with counseling by a qualified healthcare professional, report one administration code (90460) for each vaccine administered.

Vaccine CPT Code to Report. NDC covered by VFC Program. CPT Code Description

. 90672. 66019-0307-10. Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use. 90674. 70461-0320-03. Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular ...

Immunization site: IM o Deltoid o Thigh Vaccine Type: o MDV o Prefilled o Hi

gh Dose o Left o Right Manufacturer: o GSK o Sanofi Fluzone o Other _____ DOSAGE: o 0.5 Lot Number: _____ Nurse: _____ Tax ID: 38-6006309 Quadrivalent Vaccine Code: 90686 / 90688 High Dose Vaccine Code: 90662 Admin Code: G0008 / 90471 ICD: Z23

CPT Codes: HCPCS Codes: 90471: G0008-G0010. Note: If one of the above refere

nced vaccine specific HCPCS codes is billed with 90471, which is not specific, 90471 will be denied. If 90471 does not represent a duplicate of the service described by HCPCS code, modifier 59 may be to the 90471 code.

This table cross-references Current Procedural Terminology (CPT™) codes th

at are related to vaccines, toxoids and immune globulins with their corresponding CVX codes. The goal of the table is to support mapping of CPT codes to CVX codes in systems that receive CPT codes as part of an electronic data exchange. The CVX and/or NDC code systems are highly recommended when exchanging immunization ...

New flu shot codes and payment allowances go into effect each year on Aug. 1

for Medicare, allowing vaccination efforts to begin as soon as the seasonal influenza vaccine is available.

Administrative CPT Codes to Report. Administrative CPT Code(s) to Report. CP

T Code Description. 90471EP . Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); one vaccine (single or combination vaccine/toxoid) +90472EP (add-on code)*

You are responsible for submission of accurate claims requests. This reimbur

sement policy is intended to ensure that you are reimbursed based on the code that correctly describes the procedure performed. This and other UnitedHealthcare reimbursement policies may use CPT, CMS or other coding methodologies from time to time.

1 New code effective July 1, 2020. *Important: Please verify coding where a

fee is pending. This is usually an indication that there are no sources available to establish a fee. If billing a code with fee pending, you will need to provide a valid NDC for the current 2020-2021 flu season. Your claim will be rejected if incorrectly coded.

Seasonal Influenza Vaccines. Influenza (flu) vaccines, the best protection a

gainst seasonal influenza, are approved for annual use in people older than 6 months, including healthy people and those with chronic medical conditions.

CPT CODE and description 90686 - Influenza virus vaccine, quadrivalent (IIV4

), split virus, preservative free, when administered to individuals 3 years of age and older, for intramuscular use - 90715 - Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular us Tdap Tetanus -Diphtheria -Pertussis Boostrix SKB Pedi ...

Drugs are identified and reported using a unique, three-segment number calle

d the National Drug Code (NDC) which serves as the FDA’s identifier for drugs. FDA publishes the listed NDC numbers in ...

Table: CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Inform

ation in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": CPT codes covered if selection criteria are met: 90630: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for ...

How to code for influenza vaccine in the 2017-’18 season. from the AAP Div

ision of Health Care Finance . August 01, 2017 . Coding Corner; It will be important to know the specific vaccine product being ordered and administered in your office and to ensure that the patient meets the recommended age.

Immunization Registries Code Sets. 2020/2021 Seasonal Influenza Codes and Cr

osswalk. This new format includes all seasonal influenza vaccines for the 2020/2021 season in a single Excel crosswalk table that provides the CVX, MVX, NDC Unit of Sale, NDC Unit of Use, and CPT (*) codes for each vaccine.

New CPT category I codes are effective for reporting as of Jan. 1, 2019. To

assist the health care system in an orderly annual transition to a new CPT code set, the AMA releases each new edition four months ahead of the Jan. 1 operational date and develops an insider’s view with detailed information on the new code changes.

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