What is medicare hib

what is medicare hib

Vaccination codes for Hib and influenza

What codes should I use to bill for the Haemophilus influenzae type b vaccines? Which should I use for the influenza virus vaccine?

Here are the CPT codes for selected Hib and influenza vaccines, listed by brand name:

90645 HibTiter, Hib vaccine, HbOC conjugate;

90646 ProHIBit, Hib vaccine, PRP-D conjugate;

90647 PedvaxHIB, Hib vaccine, PRP-OMP conjugate;

90648 ActHIB, Hib vaccine, PRP-T conjugate;

90657 Fluzone (not preservative free), influenza virus vaccine, split virus, for children 6–35 months of age, for intramuscular use;

90658 Fluzone (not preservative free), influenza virus vaccine, split virus, for use in individuals 3 years of age and above, for intramuscular use;

90655 Fluzone Preservative Free, influenza virus vaccine, split virus, preservative free, for children 6–35 months of age, for intramuscular use;

90656 Fluzone Preservative Free, influenza virus vaccine, split virus, preservative

free, for use in individuals 3 years and above, for intramuscular use;

90656 Fluarix, influenza virus vaccine, split virus, preservative free, for use in individuals 3 years and above, for intramuscular use;

90656 Fluvirin Preservative Free, influenza virus vaccine, split virus, preservative free, for use in individuals 3 years and above, for intramuscular use;

90660 Flumist, influenza virus vaccine, live, for intranasal use.

Don’t forget to bill the appropriate codes for the administration of the vaccines, 90465–90474, or, for Medicare patients receiving an influenza vaccine, HCPCS code G0008.

If a significant, separately identifiable evaluation and management (E/M) service other than 99211 is provided on the same date as the vaccination, submit the appropriate E/M code with modifier -25 attached. Medicare will reimburse for this in 2006. Unfortunately, some payers will bundle the administration code into the E/M visit.

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Source: www.aafp.org

Category: Insurance

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