CPT Codes for 2009 H1N1 Influenza Immunizations
With both seasonal influenza and H1N1 influenza circulating this flu season, the American Medical Association (AMA) announced it has expedited the publication of a new code specific to vaccine administration and revised existing code 90663 to include the H1N1 vaccine.
The new Current Procedural Terminology (CPT®) code issued by the AMA will streamline reporting and the reimbursement procedure for physicians and health care providers who are expected to administer nearly 200 million doses of the H1N1 vaccine in the United States. The codes will also help to efficiently report and track immunization and counseling services related to the H1N1 vaccine throughout the health care system.
The codes are as follows:
- 90470—H1N1 immunization administration (intramuscular, intranasal), including counseling when performed
- 90663—Influenza virus vaccine, pandemic formulation, H1N1
How to Bill for Administration of 2009 H1N1 Influenza Vaccination
The new CPT codes detailed above are effective immediately.
To seek payment from payers following administration of 2009 H1N1 influenza type A monovalent vaccine, providers should bill CPT code 90663 (Influenza virus vaccine, pandemic formulation, H1N1) in conjunction with the immunization administration code 90470 (H1N1 immunization administration (intramuscular, intranasal), including counseling when performed). The 90663 code for the 2009 H1N1 vaccine itself should be billed for zero dollars, since the vaccine is provided free of charge by the federal government. Providers will be paid for 2009 H1N1 vaccine administration.
View additional information on reporting for H1N1
For more about 2010 CPT coding rules and guidelines, be sure to order the AMA's CPT 2010 Professional Edition codebook -- direct from the source of CPT.
Oct. 5, 2009