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INFLUENZA (FLU) Vaccine CodesCPT Code (*non-VFC will require a NV modifier)DescriptionRate (self pay)(501 Service File) Medicare As of: 08/01/2020 – 7/30/2021 AND/OR INSURANCEMedicare has up-dated Fee Schedule 2020-2021 Flu Year.Preventive Medicaid(912 Service File)90653 – (aIIV3)Fluad - Flu vaccine, inactivated (IIV), subunit, adjuvanted - 65 yrs & older60.0059.53 46.2190662-(IIV4-HD)Fluzone-preserv. FreeHigh Dose, enhanced – 65 yrs & older57.00(Slide and FFC)60.98 18.4090672* - (LAIV4) FLUMIST -Influenza live, intranasal, FluMist, 2yrs-49yrs27.00(Slide and FFC)26.8818.4090674* - (ccIIV4)Flucelvax-Quad, preserv. & antibiotic free, 0.5 mL dosage – 4yrs & older 28.0029.23 24.0590682 – (RIV4)Flublok-Quad, recombinant DNA, protein only, preserv. & antibiotic free, 0.5mL dosage -18 yrs & older56.0060.98 46.31 90685* - (IIV4)Fluzone or Afluria -Quad, preserv. free; 0.25 mL dosage – 6 – 35 mths23.0021.1318.4090686* - (IIV4)Fluarix, FluLaval, Fluzone, or Afluria - Quad, preserv. free; 0.5 mL dosage – 3yrs & older 19.0019.5818.4090687* - (IIV4)Fluzone or Afluria, Quad, 0.25 mL dosage – 6 – 35 mths 17.009.5818.4090688* - (IIV4)Fluzone or Afluria - Quad, 0.5 mL dosage – 3yrs & older17.0019.17 18.4090694 - (aIIV4)Fluad - Quad inactivated, preservative free; 0.5 mL dosage – 65yrs & older 61.00(Slide and FFC) 61.0059.0090756*– (ccIIV4)Flucelvax - Quad, 5.0 mL dosage – 4 yrs & older23.0027.70 22.79INFLUENZA (FLU) Administration CodesCPT Code (non-VFC)DescriptionRate (self pay) (501 ServiceFile) Medicare Preventive Medicaid(912 Service File)G0008Flu Administration Medicare≥19yrs<19yrs Not VFC and Not by Component)(Slide) 18.00(FFC) 19.00 25.51 90471 (by injection) or90473 (intranasal)Flu Administration (19yrs & older) (VFC and Not by Component)Not VFC and by route(Slide) 19.93 (FFC) 19.0025.5122.6119.9390460 (by Component)Flu Administration (6mos. - <19yrs) VFC and by ComponentNot VFC and by Component (Slide) 19.93(Slide at 19.93) (FFC at 19.00)18.40ADULT PNEUMONIA Vaccine and Administration Codes90732Adult Pneumococcal , (PPSV23)108.00107.7518.62G0009Adult Pneumococcal Administration(Slide) 18.00(FFC) 19.00 25.51 ................
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