Online Safety Community

CPT® 2018: Include These New Codes in Your Vaccine List & Keep Coding Denials at Bay!

Flu shots are paid by season and not by the year.


Falling sick can be troublesome, and it can be even more so for Medicare providers and their staff to report influenza vaccinations. The 2017-2018 flu season started on Aug. 1 and will continue through July 31, 2018. If, like most offices at this time of year, you’re ramping up your vaccinations for the flu season, here’s an update you to keep in mind to avoid flu aches and denials in the new year.


Add Two Codes to Your Vaccine Coding List

Effective Jan. 1, 2018, you’ll have two additional flu-vaccine codes to choose from: 90682 and 90756. This change is a continuation of last year’s update that focused CPT® descriptors on dosage while discontinuing age specificity.

Background: Although you’ll use these new codes starting Jan. 1, technically, CPT® has already released 90756 on July 1, 2017, and some payers are already accepting the vaccine (known by its trademark name Flucelvax). The code has a payment allowance of $46.313. However, if your payer is not accepting this code, you can report 90749 (Unlisted vaccine/toxoid) or HCPCS code Q2039 for Medicaid patients.

Similarly, the code 90682 surfaced on the AMA website on July 1, 2016 and became effective Jan. 1, 2017. It’s only in 2018, though, that you will find this code in the CPT® code book. This code will have a payment allowance of $22.793. 

Don’t Forget This Shingles Vaccine Code

You will also be able to document 90750 after Jan. 1 if your provider administers this vaccination to help prevent an occurrence/ reoccurrence of shingles in patients over the age of sixty. FDA approval of this vaccine is still pending, as per CPT®.

Hang on to Your Immunization Income

According to CMS guidance, flu shots are paid by season and not by the year, so it is likely that a patient could receive more than one vaccination in a calendar year. Recently, Medicare has updated its price for flu vaccination with guidance on who is covered and how much Part B will reimburse for each CPT®/HCPCS code.

Remember that Medicare Part B beneficiaries have no out-of-pocket costs for flu vaccines, as deductibles or copayments aren’t applicable.

Is Your Vaccine Coding Up-to-Speed?

Proper reporting of influenza vaccines and administration can safeguard your practice against revenue loss related to providing immunizations. But how do you keep up with the changing procedure codes and varying payer rules?

Learn more about these new vaccine code additions and get all the info you need to properly report 2018 CPT® codes for your practice by relying on TCI’s one-stop procedure coding solutions.

Check out an extensive collection of the latest medical coding books, illustrated guides, specialty handbooks, dictionaries, and sourcebooks.  Stay on top of the latest CPT® coding guidelines, learn how to code flawlessly, and stay on course to successful claims and reimbursement in 2018.

Views: 57


You need to be a member of Online Safety Community to add comments!

Join Online Safety Community

Take our poll!

Take our poll!

Latest Activity

Training Doyens posted events
15 hours ago
Nicole J Gomez posted a blog post

Instant Drug Testing versus Laboratory Testing at a Workplace: How Do They Compare?

The much-awaited 2016 report on the latest substance abuse trends in the U.S. reveals that nearly 29 million Americans are dealing with drug addiction and a huge proportion of…See More
21 hours ago
Training Doyens posted events
Tytti posted a blog post

Pro-Sapien announces new hosting service for Office 365 EHS software deployments

The new hosting service will open up the award-winning EHS system to mid-market organizations using Office 365 but who have not invested in Azure, the Microsoft Cloud.APRIL 19, 2018GLASGOW, UK • Pro-Sapien, provider of enterprise EHS&Q software on SharePoint and Office 365, has today announced an additional hosting option for clients. New customers can now opt to have Pro-Sapien manage the IT infrastructure, Microsoft Azure, required to access the EHS program.Up until now, clients using…See More


Python Condition Objects Tutorial in 2018

If you have knowledge of other programming languages, then you would know the importance of conditional statements. Conditional statements are required for taking decisions. Whenever we operate the…Continue

Tags: course, certification, training, languages, programming

Started by Elena Lauren Apr 2.

Automation Anywhere. How do I pick a value from dropdown 1 Reply

Automation Anywhere. How do I pick a value from dropdown. I tried 'set text' from a copied variable. Its very slow, and also doesnt…Continue

Tags: anywhere, automation

Started by emmablisa. Last reply by venkatesh Mar 29.

Agile overcome common software security challenges

Paradoxically, security is a negative goal. To secure something, you must understand how insecure it is. Start by trying to break it or by figuring out how other people might break it. The same is…Continue

Tags: agile, scrum, security

Started by nicolewells Mar 23.

Understanding Data Parallelism in MapReduce

In order to understand the goals of MapReduce, it is important to realize for which scenarios MapReduce is optimized. The MapReduce programming model is created for processing data which requires…Continue

Tags: program, Implementation, Mapreduce

Started by gracylayla Mar 14.

TensorFlow serving vs TensorFlow service

I have a question regarding the difference between TensorFlow Serving versus TensorFlow service. (Sorry that I'm not familiar with this at all.)I found TensorFlow serving's definition, which is "…Continue

Tags: training, online, tensorflow

Started by emmablisa Feb 27.



© 2018   Created by Safety Community.   Powered by

Badges  |  Report an Issue  |  Terms of Service