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Whether it is needed or not depends upon why you are coding it. If for a provider claim, then most insurers will need that code on the claim if you are billing for the immunization, but that will be an insurer's requirement that varies.

The ICD-9-CM diagnosis code for Need for prophylactic vaccination against influenza is V04.81.

The ICD-9-CM procedure code for administration of the vaccine is 99.52, Prophylactic vaccination against influenza.

CPT 90658 is no longer valid for Medicare claims for vaccination, as of 1/1/11.

Medicare requires HCPCS code G0008 in place of the CPT code.

Plus, Medicare has developed five new HCPCS codes for government study of the flu vaccines by manufacturer brand name:

  • Q2035 Afluria
  • Q2036 Flulaval
  • Q2037 Fluvirin
  • Q2038 Fluzone
  • Q2039 Not Otherwise Specified brand (NOS)
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Q: Is a diagnosis V code needed for a flu shot?
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The name of the strain of virus that causes the Avian (Bird) flu is H5N1.If you are asking for the ICD-9-CM diagnosis code, the new 2010 code for the Avian flu is 488.0.


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What is the diagnosis to use when billing for flu vaccinations?

Need for prophylactic vaccination and inoculation against influenza ~ ICD-9-CM code V04.81