Pharmacy Question for the Week of August 21, 2017

Pharmacy Compliance Question of the Week

Question:

Is Q2039 the correct code to assign to report the flu virus vaccine to Medicare?

Answer:

This not-otherwise-specified (NOS) code may be used between August 1 and December 31, 2017 to report the influenza virus vaccine, quadrivalent (ccIIV4), according to the Centers for Medicare & Medicaid Services (CMS) in MLN Matters number MM10196.

The following new code, which the American Medical Association recently approved, should be used for dates of service on or after January 1, 2018.

90756 Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use

For more details on this, go to the MLN Matters memo at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10196.pdf.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.