Medicare immunization billing update


Effective for dates of service on or after October 1, 2010, Healthcare Common Procedure Coding System (HCPCS) codes Q2035, Q2036, Q2037, Q2038, and Q2039 will replace the Current Procedural Terminology (CPT) code 90658 (influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use) for Medicare payment purposes during the 2010-2011 influenza season; however, these HCPCS codes will not be recognized by the Medicare claims processing systems until January 1, 2011, when CPT code 90658 will no longer be recognized. Specifically for roster claims, Medicare systems are unable to process roster claims until February 7, 2011. Providers may submit their roster claims on an individual claim basis or hold their roster claims until February 7, 2011, and then submit as a roster bill at that time.

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