AHA Coding Clinic® for HCPCS - 2011 Quarter 2; FOR your INFORMATION
The Discontinuation of H1N1 Vaccine Codes
According to information published by the American Medical Association (AMA), the H1N1 vaccine product which was developed in 2009 for the Swine Flu Pandemic is no longer offered. Therefore, CPT codes 90663 , Influenza virus vaccine, pandemic formulation, H1N1, and CPT code 90470 , H1N1 immunization administration (intramuscular, intranasal), including counseling when performed, should no longer be reported. Therefore, since January 1, 2011, under the OPPS and any other Medicare payment system, CPT codes 90663 and 90470 are discontinued and no longer payable. The reformulated seasonal flu vaccine which incorporates H1N1 and related viruses should be reported with the seasonal influenza...
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Article Overview
This article summarizes a coding update related to influenza vaccination reporting. It covers the discontinuation of older H1N1 vaccine and administration codes, references to seasonal influenza vaccine reporting, and the newer pandemic influenza vaccine code series created for future use. It is relevant to medical coders, billers, and compliance staff working with immunization claims and Medicare payment policies.
Why This Topic Matters
Influenza vaccine coding can change when products are discontinued or new vaccine formulations are introduced. Understanding these updates helps avoid reporting outdated codes and supports accurate claim submission for vaccination services.
Article Sections
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H1N1 vaccine code discontinuation
This section covers the discontinuation status of older H1N1 vaccine-related reporting and the associated Medicare payment context. It addresses the shift away from a product introduced during the 2009 pandemic.
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Seasonal influenza vaccine reporting
This section discusses the broader seasonal influenza vaccine code family and related administration coding. It places the H1N1-related update in the context of routine flu vaccine reporting.
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Pandemic influenza vaccine code series
This section introduces the newer code series established for future pandemic flu vaccine reporting. It describes the general purpose of the series and its place in vaccine coding updates.
What You Will Learn
- How influenza vaccine reporting changed after the discontinuation of older H1N1-related codes
- How the article situates seasonal influenza vaccination coding alongside pandemic flu coding
- What general type of future pandemic vaccine coding structure was introduced by the AMA
- Which organizations and payment systems are referenced in the update
Who Should Read This
- Medical coders
- Billing professionals
- Compliance staff
- Revenue cycle teams
- Practice administrators
Codes Discussed
Code Ranges Discussed
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