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Yet Another Medicare Influenza Vaccine Q Code: Q2034 Agriflu

Health Insurance Companies Process 1 in 5 Claims Wrong

Medicare Flu Shot Code Q2034

Medicare Q2034 Flu ShotIn 2012 Medicare came out with another code Q code for billing the influenza vaccine. The code is Q2034 for the flu vaccine under the brand name Agriflu. The effective date of the new code is for claims with the date of service on or after July 1, 2012.

Annual Part B deductibles and coinsurance amounts do not apply. All providers who give the influenza vaccination must accept assignment for this vaccine claim per CMS.

The new code is only for Medicare. For commercial insurance carriers you will still need to use codes 90654-90658 as appropriate which are based both on age and whether the vaccine may or may not contain preservatives.

The New HCPCS Medicare Flu Vaccine Code

Q2034 Agriflu Vaccine:

Influenza virus vaccine, split virus, for intramuscular use (Agriflu)

 Here is another quick rundown of the other Medicare Influenza Vaccine G codes.

Q2035 Afluria Vaccine:

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Afluria)

Q2036 Flulaval Vaccine:

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Flulaval)

Q2037 Fluvirin Vaccine:

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluvirin)

Q2038 Fluzone Vaccine:

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)

Q2039 NOS (Not Otherwise Specified) Vaccine:

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Not Otherwise Specified)

You can also see the video we made when the Q codes came out last year.
To watch CLICK HERE.

Reimbursement Rates

The reimbursement rate for this new code is not yet published. As soon as there is a rate I will update this post with this information, so please bookmark this post or subscribe to my blog updates.

Also remember to use G0008 (Administration of Influenza Virus Vaccine) and ICD-9 code V04.81 as the diagnosis code for the flu vaccines with your Medicare patients.

For complete information visit the CMS or your local Medicare Carrier’s website. To read and download the CMS Manual System, Pub 100-04 Medicare Claims Processing, Transmittal 2446, Change Request 7794, Dated April 26,2012, New Influenza Virus Vaccine Code CLICK HERE

CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

is a 20 year veteran of healthcare having managed medical practices. He advises medical practices, physicians and practice administrators on how to run their practice and manage their medical billing and revenue cycle management. Manny speaks, blogs and makes videos at www.CaptureBilling.com, a blog that is tops in the medical billing and coding field. READ MORE

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The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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