H1N1--New Codes from CMS for Sept 1 2009 Swine flu

October 16th, 2009 - Codapedia Editor
Categories:   Primary Care|Family Care   Coding  
0 Votes - Sign in to vote or comment.

On CMS's Open Door Forum call, today, 8/25/09, CMS said:

* Change request and MedLearn Matters articles will be coming soon

* There will be new codes for the administration/vaccine

* Vaccine will be available in mid-October, provider community will have access to it

* Vaccine will be FREE: do not bill Medicare for vaccine

* Will be able to bill for vaccine administration, same fee as administration for seasonal flu

INFO at:

http://www.cms.hhs.gov/Emergency/10_PandemicFlu.asp#TopOfPage

When the change request and MLM articles are posted, we will summarize here and post.

TWO NEW CODES

G9142 is for the vaccine itself: Influeza A (H1N1) vaccine, any route of administration.  Remember, if you receive the serum free, don't bill/report this code.

G9141 Influenza A (H1N1) immunization administration (includes the physician counseling of the patient/family)  Report one unit/beneficiary for each administration.  Copay and deductible will not apply to code G9141.

CPT® codes

90470—H1N1 immunization administration (intramuscular, intranasal), including counseling when performed
90663—Influenza virus vaccine, pandemic formulation, H1N1
 

Check with your commercial carriers about how to code: Using CPT® or HCPCS

 

###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

How to Search Find-A-Code for Medicare Policies and Guidelines — LCDs, NCDs and Articles —
November 18th, 2020 - Raquel Shumway
Help for Searching Find-A-Code when searching for Medicare Policies and Guidelines — LCDs, NCDs and/or Articles.
Cross-A-Code Instructions in Find-A-Code
November 18th, 2020 - Raquel Shumway
Cross-A-Codeis a toll found in Find-A-Code which helps you to locate codes in other code sets that help you when submitting a claim.
COVID Vaccine Codes Announced
November 11th, 2020 - Wyn Staheli, Director of Research
On November 10, 2020, the American Medical Association (AMA) announced the addition of two new codes which will be used for the new COVID-19 vaccines along with 4 new administration codes to be used when reporting the administration of these vaccines.
Are You Aware of the 2021 Star Rating System Updates?
November 5th, 2020 - Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
Each year the Centers for Medicare & Medicaid Services (CMS) publishes the Star Ratings System Updates for Medicare Advantage (Part C) and Medicare Prescription (Part D). This rating system was developed to help beneficiaries identify and select the health plans that best meet their needs, specifically addressing main issues:  Quality of ...
Special Needs Plans Help Beneficiaries and Risk Adjustment Reporting
October 22nd, 2020 - Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
It is no secret that Medicare and Medicaid are steadily moving towards their goal of value-based health care. Medicare Part C (Medicare Advantage) identifies and rewards payers, and subsequently their providers, for increasing the efficiency and quality of care they provide to Medicare...
CMS Expands Telehealth Again
October 20th, 2020 - Wyn Staheli, Director of Research
On October 14, 2020, CMS announced further changes to expand telehealth coverage. Eleven (11) new codes have been added to their list of covered services bringing the current total to 144 services. The new services include some neurostimulator analysis and programming services as well as some cardiac and pulmonary rehabilitation services.
Significant COVID-19 Code Changes as of October 6
October 8th, 2020 - Wyn Staheli, Director of Research
Significan COVID-19 Code Changes as of October 6



Home About Contact Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2020 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association