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2009 payment allowances for flu shots

CMS recently released the following payment allowances for flu shots:

CPT Code  

Allowance

90655 (flu vaccine, no preserv, 6-35m)

$15.447

90656 (flu vaccine, no preserv 3 & older)

$12.541

90657 (flu vaccine, 6-35m)

$5.684

90658 (flu vaccine, 3 & older)

$11.368

Check your local coverage determinations to see if your carrier covers 90660 (FluMist, a nasal influenza vaccine). The  payment allowance for FluMist is $22.316 when payment is based on 95% of the average whole sale price, CMS says.

Remember: Deductibles and coinsurances don't apply to these vaccines administered to your Medicare patients.

Check out previous Part B News articles for our latest coverage on swine flu (H1N1 influenza virus) billing.

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