Make sure your billing staff know CMS has issued a change request to include influenza virus vaccine CPT code 90630 (Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use) for claims with dates of service on or after Aug. 1, 2015.
These claims will be held until they are processed and paid on or after April 4, 2016, CMS says in a MLN Matters
article revised Dec. 24, 2015.
Your agency’s Medicare Administrative Contractor (MAC) will add the influenza virus vaccine CPT code to existing influenza virus vaccine edits and accept it for claims with dates of service on or after Aug. 1, 2015. MACs will pay for the code on institutional claims in home health using TOB 34X, based on reasonable cost, CMS says.
Note that annual Part B deductible and coinsurance do not apply.