Flucelvax Quadrivalent Billing Update

Posted October 18, 2016

The American Medical Association (AMA) has released Current Procedural Terminology (CPT®) code 90674 for implementation effective Jan. 1, 2017. According to the AMA, CPT code 90674 -- Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage for intramuscular use -- may be used to best describe Flucelvax Quadrivalent, a new flu vaccine for the 2016-2017 flu season. CPT code 90674 will not be effective until Jan. 1, 2017. Until the effective date, BCBSIL believes Flucelvax Quadrivalent is appropriately billed with CPT code 90749.

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This material is for informational purposes only and is not intended to be a definitive source for what codes should be used for any particular health care claim. Providers are instructed to submit claims using the most appropriate code based upon medical record documentation, coding guidelines and reference materials.