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New CPT Codes for H1N1 Flu Immunizations – Effective Immediately

Posted Sep 28 2009 10:21pm

This is good information if you want to bill and get paid for H1N1 Vaccines provided to patients.  One code is for the nose to include counseling, and the other is the pandemic formulation given in it’s normal or other format.  BD  

With both seasonal influenza and H1N1 influenza circulating this flu season, the American Medical Association (AMA) today announces it image 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 the reporting and reimbursement procedure for physicians and healthcare 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.

In consultation with the U.S. Department of Health and Human Services, the AMA CPT Editorial Panel created code 90470 to report H1N1 immunization administration and counseling. Code 90663 was revised by the CPT Editorial Panel to refer specifically to the H1N1 vaccine product. Both, revised code 90663 and Category I CPT Code 90470 are effective immediately.

For quick reference, the two codes are:

90470—H1N1 immunization administration (intramuscular, intranasal), including counseling when performed

90663—Influenza virus vaccine, pandemic formulation, H1N1

AMA Creates New CPT Codes for H1N1 Flu Immunizations

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