DecisionHealth, DecisionHealth - 2011 Issue 11 (November)

Keep these flu vaccine codes handy for Medicare patients

Medicare has expanded its influenza vaccine code offerings this year, so make sure you have the most complete, up-to-date list of codes and fees. There are the Q-codes that CMS wants you to use instead of 90658 for intramuscular vaccines given to Medicare patients age 3 or older, effective Jan. 1, 2011. Here they are, with their ASP drug prices, effective Oct. 1.

• Q2035 (Afluria), $11.543.
• Q2036 (Flulaval), $8.784
• Q2037 (Fluvirin), $13.652.
• Q2038 (Fluzone), $13.306.
• Q2039 (Not otherwise specified flu vaccine). No national payment limit, fee set by your local contractor.

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