With the novel coronavirus continuing to circulate and cause severe illness in the United States and worldwide, getting a flu shot is once again more important than ever. The 202122 influenza season will coincide with the continued circulation of SARS-CoV-2, the virus that causes COVID-19, so start planning now.
Common signs and symptoms of COVID-19 (e.g., dyspnea, fever, and cough) can also occur with influenza, which is one of the many reasons why the Centers for Disease Control and Prevention (CDC) recommends that everyone six months and older receive a flu shot. Influenza vaccines provide the best protection against the flu and its potentially serious complications. Furthermore, getting the jab will decrease the prevalence of the flu as well as reduce symptoms that might be confused with those of COVID-19. Make sure your practice is prepared for the flux of injections by updating your billing systems with the 2021 Average Sales Price (ASP) Drug Pricing Files and reading the latest vaccination guidance.
CPT coding for vaccinations involves two codes, one for the vaccine and one for its administration.The table below breaks down the vaccine codes and payment allowances for the 2021-2022 season. These payment allowances are effective Aug. 1, 2021, through July 31, 2022. Download the2021 Average Sales Price (ASP) Drug Pricing Filesfor up-to-date pricing information on all Medicare Part B drugs.
The Medicare Part B payment allowance limits for seasonal influenza vaccines are 95 percent of the Average Wholesale Price (AWP). Payment for the vaccine is based on reasonable cost when the job is furnished in a hospital outpatient department.
Medicare pays for one seasonal influenza virus vaccination perinfluenza season. Annual Part B deductible and coinsurance amounts do not apply for influenza vaccinations. All physicians, non-physician practitioners, and suppliers who administer these vaccines must take assignment on the claim for the vaccine.
When reporting vaccination encounters, use ICD-10-CM diagnosis code Z23 Encounter for immunization. For Medicare, code the administration of the flu shot with G0008 Administration of influenza virus vaccine.
Most vaccines are given as injections and are reported to non-Medicare payers with administration codes
But there are a few oral and intranasal vaccines that are reported using administration codes 90473 and 90474. Only use 90471-90474 when immunization is not accompanied by face-to-face counseling of the patient/family, or for vaccine administration to patients over 18 years of age.
Pediatric vaccine administration with counseling codes are:
Routine annual influenza vaccination is recommended for all persons aged 6 months who do not have contraindications, per the CDC. The American Academy of Pediatrics (AAP) also recommends annual influenza immunization of all children without medical contraindications, starting at 6 months of age.
Influenza vaccination is an important intervention to protect vulnerable populations and reduce the burden of respiratory illnesses during circulation of severe acute respiratory syndrome coronavirus 2, which is expected to continue during the 20212022 influenza season. -AAP
AAP maintains that any licensed, age-appropriate vaccine is acceptable; they do not have a preference for one product or formulation over another. Notably, the AAP clarifies that the flu jab may be administered simultaneously with or any time before or after administration of the currently available novel coronavirus disease 2019 (COVID-19) vaccines.
All seasonal influenza vaccines expected to be available for the 20212022 season are quadrivalent, containing hemagglutinin (HA) derived from one influenza A(H1N1)pdm09 virus, one influenza A(H3N2) virus, one influenza B/Victoria lineage virus, and one influenza B/Yamagata lineage virus.
For the 202122 season, U.S.-licensed influenza vaccines will contain:
Get more information regardingCDC recommendationsfor prevention and control of seasonal influenza and answers to frequently asked questions about the 2021-2022 flu season.
For further clarification, see the recommendations of the Advisory Committee on Immunization Practices (ACIP) regarding prevention and control of seasonal influenza with vaccines.
Stacy Chaplain, MD, CPC, is a development editor at AAPC. She has worked in medicine for more than 20 years, with an emphasis on education, writing, and editing since 2015. Chaplain received her Bachelor of Arts in biology from the University of Texas at Austin and her doctorate in medicine from the University of Texas Medical Branch in Galveston. She is a member of the Beaverton, Ore., local chapter.
See the original post here:
Update: 2021-2022 Flu Vaccine Information - AAPC Knowledge Center
- Conspiracy theories about monkeypox: Dj vu all over again or same as it ever was? - Science Based Medicine [Last Updated On: August 9th, 2022] [Originally Added On: August 9th, 2022]
- Is There a Nasal Spray COVID Vaccine? Researchers Are Working on It - CNET [Last Updated On: August 9th, 2022] [Originally Added On: August 9th, 2022]
- How to ensure your child has a healthy school year - East Idaho News [Last Updated On: August 9th, 2022] [Originally Added On: August 9th, 2022]
- 13219 flu vaccines administered in the last week - Ministry of Health [Last Updated On: August 9th, 2022] [Originally Added On: August 9th, 2022]
- Flu Vaccine Market Size 2022 with 4.8 % CAGR : new business prospects by identifying trends and driving forces and Forecast up to 2027 Shanghaiist -... [Last Updated On: August 9th, 2022] [Originally Added On: August 9th, 2022]
- Flu vaccine numbers on the rise | Wyndham - Wyndham Star Weekly [Last Updated On: August 9th, 2022] [Originally Added On: August 9th, 2022]
- What You Need To Know About Flu Strains - Health Essentials [Last Updated On: August 9th, 2022] [Originally Added On: August 9th, 2022]
- Covid jabs will have to be tweaked annually like flu until universal vaccine is discovered - iNews [Last Updated On: August 22nd, 2022] [Originally Added On: August 22nd, 2022]
- Flu in Fife: Parents urged to get children vaccinated ahead of winter flu season - Fife Today [Last Updated On: August 22nd, 2022] [Originally Added On: August 22nd, 2022]
- 7297 flu vaccines administered in the last week - Ministry of Health [Last Updated On: August 22nd, 2022] [Originally Added On: August 22nd, 2022]
- Winter Vaccination Campaign to start in Highland - NHS Highland [Last Updated On: August 22nd, 2022] [Originally Added On: August 22nd, 2022]
- As H1N1 cases rise, experts ask citizens to get the 'flu shot' - The New Indian Express [Last Updated On: August 22nd, 2022] [Originally Added On: August 22nd, 2022]
- Drive thru flu vaccines return this fall for Dalton & Chatsworth - WDEF News 12 [Last Updated On: August 22nd, 2022] [Originally Added On: August 22nd, 2022]
- Influenza (flu) vaccine [Last Updated On: August 22nd, 2022] [Originally Added On: August 22nd, 2022]
- Seniors, take the flu vaccine - The Star Online [Last Updated On: September 1st, 2022] [Originally Added On: September 1st, 2022]
- Next stop: mandatory flu vaccines - The Post - UnHerd [Last Updated On: September 1st, 2022] [Originally Added On: September 1st, 2022]
- Cleveland Clinic Begins Appointment-Only Flu Vaccinations - Cleveland Clinic Newsroom [Last Updated On: September 1st, 2022] [Originally Added On: September 1st, 2022]
- Pharmaceutical firms to supply record doses of the flu vaccine | The Asahi Shimbun: Breaking News, Japan News and Analysis - [Last Updated On: September 1st, 2022] [Originally Added On: September 1st, 2022]
- Annual 'Flu-Free QC' campaign kicks of with free flu shots, Bandits tickets for elementary students - WQAD Moline [Last Updated On: September 3rd, 2022] [Originally Added On: September 3rd, 2022]
- Over-75s to be called for Covid and flu vaccinations from next week - The Telegraph [Last Updated On: September 3rd, 2022] [Originally Added On: September 3rd, 2022]
- Best plan for 2022 flu season? Get your flu shot early - UCHealth Today [Last Updated On: September 3rd, 2022] [Originally Added On: September 3rd, 2022]
- Drive-thru flu shots coming to a health department near you - Now Habersham [Last Updated On: September 3rd, 2022] [Originally Added On: September 3rd, 2022]
- LECOM Hosts First Flu Vaccine Clinic of the Year, Warns of Upcoming Flu Season - erienewsnow.com [Last Updated On: September 3rd, 2022] [Originally Added On: September 3rd, 2022]
- Flu shot: Your best bet for avoiding influenza - Mayo Clinic [Last Updated On: September 3rd, 2022] [Originally Added On: September 3rd, 2022]
- Its a Good Time to Get Your Flu Vaccine | FDA [Last Updated On: September 3rd, 2022] [Originally Added On: September 3rd, 2022]
- All you need to know about autumn/winter Covid boosters and flu vaccines in Tayside and Fife - The Courier [Last Updated On: September 6th, 2022] [Originally Added On: September 6th, 2022]
- Global Influenza Vaccines Market Report 2022-2028: Increasing Government Support to Promote Influenza Vaccination and Rising Investments by Top Market... [Last Updated On: September 6th, 2022] [Originally Added On: September 6th, 2022]
- From flu shots to COVID-19 boosters to shingles, adults need to keep up their shots - Charleston Post Courier [Last Updated On: September 6th, 2022] [Originally Added On: September 6th, 2022]
- This nanoparticle could be the key to a universal covid vaccine - MIT Technology Review [Last Updated On: September 6th, 2022] [Originally Added On: September 6th, 2022]
- JMU expert says time is right for flu shots - JMU - James Madison University [Last Updated On: September 6th, 2022] [Originally Added On: September 6th, 2022]
- Can the annual flu vaccine reduce risk of stroke? - study - The Jerusalem Post [Last Updated On: September 7th, 2022] [Originally Added On: September 7th, 2022]
- Global Influenza Vaccine Market Report 2022: Rising Prevalence of Influenza and Growing Influenza Vaccination Drive Fuel Sector -... [Last Updated On: September 10th, 2022] [Originally Added On: September 10th, 2022]
- Board of Health to Host Drive-Thru Flu Vaccine Event in Dunwoody on Sept. 17 - DeKalb County Board of Health [Last Updated On: September 10th, 2022] [Originally Added On: September 10th, 2022]
- Putnam County Health Department Offering Flu Vaccine - 1330 WFIN [Last Updated On: September 10th, 2022] [Originally Added On: September 10th, 2022]
- Getting An Annual Flu Shot May Offer This Unexpected Health Benefit - Health Digest [Last Updated On: September 10th, 2022] [Originally Added On: September 10th, 2022]
- When Should You Get Your Flu Shot for the 2022-2023 Season? - Self [Last Updated On: September 10th, 2022] [Originally Added On: September 10th, 2022]
- Monkeypox: Currently available vaccines will likely be effective - Medical News Today [Last Updated On: September 14th, 2022] [Originally Added On: September 14th, 2022]
- Actor Jason Alexander and American Nurses Association Encourage People Across the Country to Get their Flu Shot to Help Protect Against Flu and its... [Last Updated On: September 14th, 2022] [Originally Added On: September 14th, 2022]
- St. Charles County health department to hold free drive-thru flu shot clinic in October - KSDK.com [Last Updated On: September 14th, 2022] [Originally Added On: September 14th, 2022]
- Flu season expected to be worse: Will Omaha residents line up to get the flu shot? - KMTV 3 News Now Omaha [Last Updated On: September 14th, 2022] [Originally Added On: September 14th, 2022]
- Nevada is falling behind in vaccines overall; last in flu vaccines among children and teens - Carson Now [Last Updated On: September 14th, 2022] [Originally Added On: September 14th, 2022]
- Experts say some kids need two doses of the flu vaccine. What parents need to know - 11Alive.com WXIA [Last Updated On: September 14th, 2022] [Originally Added On: September 14th, 2022]
- Governor, LDH leaders receive their flu and updated COVID boosters, encourage Louisianans to 'make a plan' | Office of Governor John Bel Edwards -... [Last Updated On: September 18th, 2022] [Originally Added On: September 18th, 2022]
- Winter is coming, and so is the flu - MercyOne [Last Updated On: September 18th, 2022] [Originally Added On: September 18th, 2022]
- Linn County Health Department to hold flu shot clinic for those 65 and older - kttn [Last Updated On: September 18th, 2022] [Originally Added On: September 18th, 2022]
- Drive-thru flu vaccine event being held in Dunwoody on Saturday as flu season approaches - Yahoo News [Last Updated On: September 18th, 2022] [Originally Added On: September 18th, 2022]
- Should You Get Your COVID-19 Booster and Flu Shot at the Same Time? - TIME [Last Updated On: September 18th, 2022] [Originally Added On: September 18th, 2022]
- Flu vaccine - HSE.ie [Last Updated On: September 18th, 2022] [Originally Added On: September 18th, 2022]
- The Flu Vaccine and Pregnancy | ACOG [Last Updated On: September 18th, 2022] [Originally Added On: September 18th, 2022]
- Vacillating views on taking the flu vaccine - The Star Online [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- Montville Twp. Health Dept. to Sponsor COVID and Flu Vaccine Clinics - TAPinto.net [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- Fight The Flu at Orland Township - Suburban Chicagoland [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- Your Flu Shot Questions, Answered by an Expert - Everyday Health [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- University Hospitals chosen to help study effectiveness of COVID, flu shots - WJW FOX 8 News Cleveland [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- 'Should I get my omicron booster and flu shot at the same time?' and other questions about fall vaccines, answered - CNBC [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- Theres a change in flu shot guidance for some adults this year: What you need to know - AL.com [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- Why the Flu Vaccine is More Important Than Ever This Year - Rutgers University [Last Updated On: September 21st, 2022] [Originally Added On: September 21st, 2022]
- For the sixth year, Florida Blue and Walgreens are teaming up to provide flu shots to the public - ActionNewsJax.com [Last Updated On: September 25th, 2022] [Originally Added On: September 25th, 2022]
- Cambridge Public Health Department Recommends Flu Vaccines and COVID-19 Boosters, Releases Fall Vaccine Clinic Schedule - the City of Cambridge [Last Updated On: September 25th, 2022] [Originally Added On: September 25th, 2022]
- Flu season could be rough this year : Shots - Health News - NPR [Last Updated On: September 25th, 2022] [Originally Added On: September 25th, 2022]
- 5 myths about the flu vaccine - World Health Organization [Last Updated On: September 25th, 2022] [Originally Added On: September 25th, 2022]
- University Health recommends getting omicron booster and flu shot now - KSLTV [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- Elderly north-east patients face being 'stranded' over flu jab roll-out - The Press & Journal [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- Wayland Health Department Reminds Residents of Upcoming Senior Flu Clinic - John Guilfoil Public Relations LLC [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- Is A Universal Influenza Vaccine One Shot For All Strains On The Horizon? - Forbes [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- The flu season is upon us: the CERN vaccination campaign begins - CERN [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- When's the Perfect Time to Get a Flu Shot? - The Atlantic [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- Consumer's Guide to Flu Vaccines - Everyday Health [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- Is it safe to get COVID booster and flu shot at the same time? What experts say - Los Angeles Times [Last Updated On: September 27th, 2022] [Originally Added On: September 27th, 2022]
- Early and aggressive spread of flu in NY this year, health officials warn - WUTR/WFXV - CNYhomepage.com [Last Updated On: October 8th, 2022] [Originally Added On: October 8th, 2022]
- Flu is set for a big comeback now COVID restrictions are lifted heres what you need to know - theconversation.com [Last Updated On: October 8th, 2022] [Originally Added On: October 8th, 2022]
- Sheridan VA offering drive-thru flu vaccinations Sheridan Media - Sheridan Media [Last Updated On: October 8th, 2022] [Originally Added On: October 8th, 2022]
- Stanford health experts answer flu vaccine FAQs - Stanford Report - Stanford University News [Last Updated On: October 8th, 2022] [Originally Added On: October 8th, 2022]
- We know you have vaccine fatigue, but this is not the year to skip the flu shot - todaysparent.com [Last Updated On: October 8th, 2022] [Originally Added On: October 8th, 2022]
- Summit County to host flu vaccine clinics around the county this fall - TownLift [Last Updated On: October 8th, 2022] [Originally Added On: October 8th, 2022]
- Milwaukee Health Department Urges Residents to Get Vaccinated this Flu Season - City of Milwaukee [Last Updated On: October 9th, 2022] [Originally Added On: October 9th, 2022]
- Can the Flu Vaccine Give Me the Flu? - Bloomberg [Last Updated On: October 9th, 2022] [Originally Added On: October 9th, 2022]
- Meet the 100-year-old Darlington woman who's been made 'poster girl' of the flu jab campaign - The Northern Echo [Last Updated On: October 11th, 2022] [Originally Added On: October 11th, 2022]
- Here's How to Protect Yourself During Respiratory Season - University of Utah Health Care [Last Updated On: October 11th, 2022] [Originally Added On: October 11th, 2022]
- If You Forget And Get Two Flu Shots, Is It Dangerous? - 943thepoint.com [Last Updated On: October 11th, 2022] [Originally Added On: October 11th, 2022]