Flu Vaccine, Split Virus: Case Study

Decent Essays
Medicare patient is administered a trivalent flu vaccine, split virus, IM 0.25mL dosage.
1. Is G0008 the correct code? Explain why or why not.
- Yes, G0008 is the correct code for the administration of influenza vaccine to a Medicare patient but, Code 90657 from the CPT coding manual should also be reported for the vaccine/toxoid.
2. Explain why different codes could be assigned for a patient with private health insurance and include what other code or codes would be assigned.
- Different codes could be assigned for a patient with private health insurance through the CPT coding manual. The CPT codes that would be assigned for a patient with private insurance given a trivalent flu vaccine, split virus, IM 0.25mL dosage would be: 90471; 90657

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