Temporary fee code for influenza immunizations reactivated for 2022/2023 flu season

September 29, 2022

On October 1, 2022, the two temporary fee codes for adult respiratory immunizations – influenza, pneumococcal, and pertussis during pregnancy – will once again be reactivated for the 2022/23 flu season, effective for dates of service on or after October 1, 2022, with an end date of April 30, 2023.

Details of each fee can be found below:

T10040 Respiratory immunization for patients 19 years of age or older (with visit)..........$5.45

Notes:

i) Payable for Influenza (using ICD-9 code V048) and Pneumococcal (using ICD-9 code V05) and Pertussis during pregnancy (using ICD-9 code V036) immunizations.

ii) Payable in full with an office visit.

iii) If the primary purpose of the service is for immunization, bill fee item 10041 using ICD-9 code V048 for influenza, and/or V05 for pneumococcal and/or V036 for Pertussis during pregnancy.

TB10041 Respiratory immunization for patients 19 years of age or older (without visit)……….$14.00

Notes:

i) Payable for Influenza (using ICD-9 code V048) and Pneumococcal (using ICD-9 code V05) and Pertussis during pregnancy (using ICD-9 code V036) immunizations when the primary purpose of the service is for immunization.

ii) Not payable with an office visit.

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