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CMS is replacing the CPT code you've been accustomed to using for flu vaccines and is adding five new Q codes, with an enforcement date of Jan. 1, 2011. For dates of service starting Jan. 1, 90658 (flu vaccine, 3 years and older, $11.37) will no longer be payable. The five new Q codes are actually payable right now, and retroactively to Oct. 1, 2010. You may submit claims with these new codes on an individual basis or via roster billing. Here's a full list of the codes (read more on new Q codes for flu vaccines) ...

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