tci ED Coding & Reimbursement Alert - 2011 Issue 11

Influenza Vaccine Coding: Look Sharp at New Vaccine Codes For The 2011 Flu Season

Double check your code assignments to make sure you comply with payer instructions. Flu season can be a busy time in the emergency department, especially if an epidemic hits the area. Although ideally not the place for preventive care, your ED physician may provide flu shots for certain patient populations that seek treatment there. To better recoup deserved reimbursement for these services, take note of the differences between CPT® and Medicare for flu vaccine codes. CPT® has several codes describing administration of influenza virus vaccine depending on the formula of the vaccine, method of administration, and age of the...

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