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Flu Code Updates

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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