As we pass the mid-point of Flu Season, the Alliance wants to share coding resources and updates for your influenza immunization billing and data submission.
Code update: The code 90656, used to report trivalent (IIV3) flu vaccines has been discontinued. It was discontinued as of 7/1/2019 because the trivalent vaccines have been replaced with quadrivalent vaccines. Please reference the 2021-2022 Influenza Season Billing/ Coding Updates for current CPT Codes. https://thealliance.health/2021-2022-influenza-season-billing-coding-updates/
Flu Code Crosswalk: For the 2021-2022 Flu Season, a crosswalk has been created to assist providers in selecting the appropriate CPT code to vaccine based on NDC number.
NDC | NDC Reported | Brand Name & Eligible Age | CVX Code | CPT |
---|---|---|---|---|
33332-0221-20 | 33332-0221-21 | Afluria Quadrivalent
6-35 months |
161 | 90685 |
33332-0321-01 | 33332-0321-02 | Afluria Quadrivalent
3 years and up |
150 | 90686 |
70461-0121-03 | 70461-0121-04 | Fluad Quadrivalent
65 years and up |
205 | 90694 |
70461-0321-03 | 70461-0321-04 | Flucelvax Quadrivalent
2 years and up |
171 | 90674 |
70461-0421-10 | 70461-0421-11 | Flucelvax Quadrivalent
2 years and up |
186 | 90756 |
33332-0421-10 | 33332-0421-11 | Afluria Quadrivalent
6-35 months |
158 | 90687 |
33332-0421-10 | Afluria Quadrivalent
3 years and up |
158 | 90688 | |
19515-0818-52 | 19515-0818-41 | Flulaval Quadrivalent
6 months and up |
150 | 90686 |
66019-0308-10 | 66019-0308-01 | Flumist Quadrivalent
2 to 49 years |
149 | 90672 |
58160-0887-52 | 58160-0887-41 | Fluarix Quadrivalent
6 months and up |
150 | 90686 |
49281-0721-10 | 49281-0721-88 | Flublok Quadrivalent Northern Hemisphere
18 years and up |
185 | 90682 |
49281-0121-65 | 49281-0121-88 | Fluzone High-Dose Quadrivalent Northern Hemisphere
65 years and up |
197 | 90662 |
49281-0421-10 | 49281-0421-58 | Fluzone Quadrivalent
6 months and up |
150 | 90686 |
49281-0421-50 | 49281-0421-88 | Fluzone Quadrivalent
6 months and up |
150 | 90686 |
49281-0521-25 | 49281-0521-00 | Fluzone Quadrivalent
6-35 months |
161 | 90687 |
49281-0635-15 | 49281-0635-78 | Fluzone Quadrivalent
6-35 months |
158 | 90688 |