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Tsis txhob nco qhov hloov tshiab. Sau npe kom tau txais xov xwm Alliance tus kws kho mob.

2023-2024 Influenza Season Billing/Coding Updates

Tus neeg muab kev pabcuam Icon

Cov tshuaj tiv thaiv muaj pes tsawg leeg rau xyoo 2023-24 US influenza

Pawg neeg saib xyuas kev noj qab haus huv FDA tau pom zoo tias cov tshuaj tiv thaiv kab mob khaub thuas sib npaug ntawm cov qe qe rau US 2023-2024 lub caij mob khaub thuas muaj cov hauv qab no:

  • tus kab mob A/Victoria/4897/2022 (H1N1) pdm09-zoo li tus kab mob.
  • tus kab mob A/Darwin/9/2021 (H3N2)-zoo li tus kab mob.
  • tus kab mob B/Austria/1359417/2021-zoo li tus kab mob B/Victoria.
  • tus kab mob B/Phuket/3073/2013-zoo li tus kab mob B/Yamagata.

Pawg neeg saib xyuas tau pom zoo tias qhov kev tsim plaub npaug ntawm cov tshuaj tiv thaiv kab mob khaub thuas-los yog rov ua dua tshiab rau US 2023-2024 influenza season muaj cov hauv qab no:

  • tus kab mob A/Wisconsin/67/2022 (H1N1) pdm09-like virus.
  • tus kab mob A/Darwin/6/2021 (H3N2)-zoo li tus kab mob.
  • tus kab mob B/Austria/1359417/2021-zoo li tus kab mob B/Victoria.
  • tus kab mob B/Phuket/3073/2013-zoo li tus kab mob B/Yamagata.
Txhua Alliance kab ntawm kev lag luam (hnub muaj txiaj ntsig Lub Cuaj Hli 1, 2023 txog Lub Rau Hli 30, 2024)
Siv rau cov tswv cuab txuas rau koj qhov kev coj ua, cov tswv cuab tsis sib txuas (tsis xav tau xa mus) lossis cov tswv cuab tswj hwm.
Lub npe tshuaj tiv thaiv Kev noj tshuaj Hnub nyoog Group CPT Code
Afluria® (IIV4)

 

0.5 mL PFS 10-bx * 3 Xyoo & Laus 90686
5ml wb

24.5 mcg / dos

3 Xyoo & Laus 90688
Afluria® Pediatric (IIV4) 0.5 mL (.25mL koob) MDV 10-bx * 6 rau 35 muaj 90687
Fluad® (IV) 0.5 mL PFS 10-bx * 65 xyoo & laus dua 90694
Fluarix® (IIV4) 0.5 mL PFS 10-bx * 6 hli & laus dua 90686
Flublok® (RIV4) 0.5 mL PFS 10-bx * 18 xyoo & laus dua 90682
Flucelvax® (CCIIV4)

 

0.5 mL PFS 10-bx * 6 hli & laus dua 90674
5ml wb

25 mcg / dos

6 hli & laus dua 90756
FluLaval® (IIV4) 0.5 mL PFS 10-bx * 6 hli & laus dua 90686
FluMist® (LAIV4) 0.2 mL tshuaj tsuag 10-bx * 2a49 xya 90672
Fluzone® (IIV4)

 

0.5 mL PFS 10-bx * 6 hli & laus dua 90686
5ml wb

25 mcg / dos

6 rau 35 muaj 90687
5ml wb

25 mcg / dos

3 Xyoo & Laus 90688
Fluzone® High-Dose (IV) 0.7 mL PFS 10-bx * 65 xyoo & laus dua 90662

 

Cov npe txhaj tshuaj tiv thaiv kab mob
Lub npe tshuaj tiv thaiv Kev Tiv Thaiv Lub Npe nrog CVX*
Afluria® (IIV4)

 

Influenza, txhaj, quadrivalent, pres dawb (150)
Influenza, txhaj, quadrivalent (158)
Afluria® Pediatric (IIV4) Influenza, txhaj, quadrivalent, pres free, ped (158)
Fluad® (IV) Influenza, trivalent, adjuvanted (144)
Fluad® (allV4) Influenza, txhaj, quadrivalent, pres dawb (205)
Fluarix® (IIV4) Influenza, txhaj, quadrivalent, pres dawb (150)
Flublok® (RIV4) Influenza, recombinant, quad, txhaj, pres free (185)
Flucelvax® (CCIIV4)

 

Influenza, injectable, MDCK, pres free, quadrivalent (171)
Influenza, txhaj, MDCK, quadrivalent (186)
FluLaval® (IIV4) Influenza, txhaj, quadrivalent, pres dawb (150)
FluMist® (LAIV4) Influenza, nyob, intranasal, quadrivalent (149)
Fluzone® (IIV4)

 

Influenza, txhaj, quadrivalent, pres dawb (150)
Influenza, txhaj, quadrivalent (158)
Fluzone® High-Dose (IV) Influenza, koob tshuaj ntau lub caij (197, 135)

* Kho CVX code rau npe txhaj tshuaj tiv thaiv yog xav tau rau Care Based Incentives (CBI).

VFC program

Qhov Kev Pabcuam Vaccines for Children (VFC) yog ib qho kev pab cuam los ntawm tseemfwv qibsiab uas muab cov tshuaj tiv thaiv tsis tau them nqi rau cov menyuam yaus tsim nyog uas yuav tsis tau txhaj tshuaj tiv thaiv vim tsis muaj peev xwm them taus.

Tsuas yog cov menyuam yaus hnub nyoog qis dua 19 xyoos thiaj tsim nyog tau txais kev pabcuam VFC.

Cov menyuam yaus tsim nyog yog tias lawv yog ib qho ntawm cov hauv qab no:

  • Medicaid tsim nyog.
  • Tsis muaj pov hwm.
  • Tsis muaj kev pov hwm.
  • American Indian/Native American.

Thaum siv VFC Tshuag, append modifier SL rau tus lej tshuaj tiv thaiv. Modifier SL qhia VFC cov khoom siv thiab tsuas yog tso cai them rov qab rau kev tswj hwm tshuaj tiv thaiv.

Raws li Medi-Cal cov lus qhia: “Medi-Cal cov cai txhaj tshuaj tiv thaiv kab mob them nqi rau cov neeg tau txais kev tsim nyog tau txais cov tshuaj tiv thaiv VFC yuav raug them rov qab tsuas yog hauv cov ntaub ntawv teev tseg ntawm cov tshuaj tiv thaiv tsis txaus, kab mob sib kis, teeb meem xa tshuaj tiv thaiv, lossis cov xwm txheej thaum tus neeg tau txais tsis tau raws li qhov tshwj xeeb. Cov xwm txheej xav tau rau VFC cov tshuaj tiv thaiv tshwj xeeb. Ib tus kws kho mob tsis tuaj koom rau hauv VFC qhov kev pab cuam tsis yog ib qho kev zam. "

Txawm li cas los xij, Alliance yuav ua qhov kev zam rau cov uas tsis yog VFC cov chaw muab kev pab.

Yuav ua li cas them nqi

  • Tsis txhob them tus lej CPT nrog SL hloov kho.
  • Cov ntaub ntawv "tsis yog-VFC" hauv lub thawv 19 ntawm CMS daim ntawv thov lossis lub thawv 80 ntawm UB-04 daim ntawv thov.
  • Xa daim ntawv thov mus rau CCAH Ceeb Toom: Sharlene Gianopoulos.

Txhua qhov kev thov yuav tsum raug them nqi ntawm UB-04, CMS-1500 lossis lawv qhov sib npaug hauv hluav taws xob.