It’s Flu Season 2015-16

The Centers for Medicare & Medicaid Services (CMS) has published Medicare payment amounts for flu vaccines and their administration for the 2015-16 flu season. 

Effective for services provided on Aug. 1, 2015, through July 31, 2016, the Medicare Part B payment allowances below apply for HCPCS and CPT codes.Remember, Medicare covers the flu vaccine without any out-of-pocket costs to the Medicare patient. No deductible or copayment/coinsurance applies.

CODE PAYMENT ALLOWANCE

CPT CODES

90630*        $23.467
90654 Pending**
90655 Pending
90656 $13.880
90657 $6.022
90661 $22.288
90662 $36.315
90672 $26.876
90673 $37.193
90685 $24.596
90686 $18.155
90687 $9.134
90688 $18.269

HCPCS CODES

Q2035 $13.025
Q2036 Pending
Q2037 $15.830
Q2038 $12.044
Q2039 Flu Vaccine Adult — Not Otherwise Classified.
Payment allowance is to be determined by Novitas Solutions 

*Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use

** Look for updates on the CMS website

For more information about the flu:

Published Sept. 24, 2015

TMA Practice E-Tips main page

 

 

Last Updated On

May 13, 2016

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