Billing Procedure for the H1N1 Vaccine
Posted on October 16, 2009
For our Commercial business, providers should bill the cpt codes 90663 (vaccination, no reimbursement) with 90470 (administration) which will reimburse $13.76. Always bill both together, neither without the other.
For our Medicare Advantage/Medicare primary patients, providers should bill with G9142 (vaccine, no reimbursement) with G9141 (administration) which will reimburse at $13.76. Always bill both together, neither without the other. And, the codes are G9141 and G9142 (not G19xx).