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2020/2021 Influenza Season Billing/Coding Updates

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All Alliance lines of business

(Effective Date September 1, 2020 thru June 30, 2021)

For members linked to your practice, another PCP (no Referral needed), or administrative members:
Vaccine Name Dosage Age Group CPT Code
Afluria® (IIV4) 0.5 mL PFS 10-bx* 3 Years & Older 90686
5 mL MDV

24.5 mcg/dose

6 months & older 90688
5 mL MDV

.25 mL/dose

6 to 35 months 90687
Afluria® Pediatric (IIV4) 0.25 mL PFS 10-bx* 6 to 35 months 90685
Fluad® (IIV) 0.5 mL PFS 10-bx* 65 years & older 90653
Fluad® (allV4) 0.5 mL PFS 10-bx* 65 years & older 90694
Fluarix® (IIV4) 0.5 mL PFS 10-bx* 6 months & older 90686
Flublok® (RIV4) 0.5 mL PFS 10-bx* 18 years & older 90682
Flucelvax® (ccIIV4) 0.5 mL PFS 10-bx* 4 years & older 90674
5 mL MDV

25 mcg/dose

4 years & older 90756
FluLaval® (IIV4) 0.5 mL PFS 10-bx* 6 months & older 90686
FluMist® (LAIV4) 0.2 mL spray 10-bx* 2 to 49 years 90672
Fluzone® (IIV4) 0.5 mL PFS 10-bx* 6 months & older 90686
0.5 mL SDV 10-bx* 6 months & older 90686
5 mL MDV

25 mcg/dose

6 months & older 90688
5 mL MDV

.25 mL/dose

6 to 35 months 90687
Fluzone® High-Dose (IIV) 0.7 mL PFS 10-bx* 65 years & older 90662

*Preservative free

Immunization Registries
Vaccine Name  Immunization Service Name with CVX*
Afluria® (IIV4) Influenza, injectable, quadrivalent, pres free (150)
Influenza, injectable, quadrivalent (158)
Afluria® Pediatric (IIV4) Influenza, injectable, quadrivalent, pres free, ped (161)
Fluad® (IIV) Influenza, trivalent, adjuvanted (168)
Fluad® (allV4) Influenza, injectable, quadrivalent, pres free (150)
Fluarix® (IIV4) Influenza, injectable, quadrivalent, pres free (150)
Flublok® (RIV4) Influenza , recombinant, quad, inject, pres free (185)
Flucelvax® (ccIIV4) Influenza, injectable, MDCK, pres free, quadrivalent (171)
Influenza, injectable, MDCK, quadrivalent (186)
FluLaval® (IIV4) Influenza, injectable, quadrivalent, pres free (150)
FluMist® (LAIV4) Influenza, live, intranasal, quadrivalent (149)
 

Fluzone® (IIV4)

Influenza, injectable, quadrivalent, pres free (150)
Influenza, injectable, quadrivalent, pres free (150)
Influenza, injectable, quadrivalent, (158)
Fluzone® High-Dose (IIV) Influenza, high dose seasonal (135)

*Correct CVX code for immunization registries is needed for Care Based Incentives (CBI).