Bid Goodbye to Influenza Vaccine Code 90658 from Jan. 1

Bid Goodbye to Influenza Vaccine Code 90658 from Jan

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Bid Goodbye to Influenza Vaccine Code 90658 from Jan. 1 HCPCS Codes: Forget about the influenza vaccine code 90658 for your Medicare billing purposes. HCPCS codes, medical coding Starting January 1, 2011, you can forget about the influenza vaccine code 90658 for your Medicare billing purposes. The code, which establishes separate billing codes for each brand-name influenza vaccine product will give away to five specific HCPCS codes to meet your flu vaccine coding needs.

The just-in HCPCS codes cover Medicare payment effective for dates of service on or after October 1, 2010, which means that date of service between October 1 and December 31, 90658 and the Q codes will be valid for billing.

Medicare defines the HCPCS codes as:

"However, effective for claims with date of service on or after January 1, 2011, 90658 will no longer be payable for Medicare. It will not recognize these HCPCS codes until January 1, when 90658 will no longer be in effect."

For instance: Your pulmonologist administers the flu vaccine to a patient on October 29. You may either bill Medicare immediately using 90658, or hold the claim and wait until January 1, 2011 to bill Medicare using the proper Q code.

In this situation, see to it that you haven't submitted any claim using 90658. If so, you shouldn't use the Q code for that same service, or you would be guilty of duplication.

Remember: Use these codes only for vaccine that contains preservative (normally manufactured in multi-dose vials). If your practice administers preservative free vaccine (normally supplied in pre-filled single-dose syringes), continue to use 90656. Intranasal administration needs reporting of 90660. (Additionally, do not forget to report the proper administration code).

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