AAP News: Proper Coding for Flu Vaccines
Posted on September 30, 2024
CPT + ICD-10-CM + NDC = proper coding for flu vaccines
As the 2024-’25 influenza season approaches, it is important to be aware that codes for vaccine
administration will differ from previous years.
This season, all influenza vaccines will be trivalent instead of quadrivalent due to the removal of the influenza B Yamagata strain, which has not circulated since March 2020. The trivalent vaccines will have an updated influenza A (H3N2) component. The influenza A (H1N1)pdm09 and influenza B Victoria lineage components will remain the same.
Multiple codes are required to receive appropriate payment for vaccines: Current Procedural Terminology (CPT) codes for the product and administration, an International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code for diagnosis and a National Drug Code (NDC).