Influenza Virus Vaccine and Administration - JE Part A

HCPCS/CPT Codes

• 90662, 90672, 90674, 90682, 90685, 90686, 90687, 90688, 90694, 90756 - Influenza Virus Vaccine (effective 08/01/2022 - 07/31/2023)
• G0008 - Administration of influenza virus vaccine

Frequency

Once per influenza season (additional flu shots are covered if medically necessary)

Diagnosis Code

Z23 - Encounter for immunization

Coverage

All Medicare beneficiaries

Payment

Copayment/coinsurance waived; Deductible waived

Roster Billing

• Simplifies claims by allowing mass immunizers to submit one claim form with a list of several immunized beneficiaries on the same date
• Use Medicare Beneficiary Identifiers (MBIs) to check eligibility and submit claims

Noridian Medicare Portal

No

Resources

• Influenza and Pneumonia Billing (Links to Jurisdiction E Part B webpage)
• CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 50.4.4.2
• CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section 10
• CMS Medicare Preventive Services
• CMS Roster Billing for Mass Immunizers
• CMS Vaccine Pricing