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Coding and Billing Information

The importance of simplified, accurate coding and billing is second only to the vaccines themselves. flu360™ helps navigate complexities-CPT codes, NDC numbers, coding based on payer, and more-to aid in the reimbursement process.

Consider this your go-to coding and billing resource for our portfolio of vaccines

You can access CPT codes as well as administrative coding details, such as HCPCS codes, ICD-10 codes, and modifier 25 guidance.

Have reimbursement-related questions?
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Easily find CPT codes, NDC numbers, CVX codes, and more.*

FLUAD® QUADRIVALENT

FLUCELVAX® QUADRIVALENT

AFLURIA® QUADRIVALENT

Seqirus Vaccine Product Description	Presentation/ Dose¹	Age Indication¹	Vaccine Product CPT Code²	2022-2023 NDC Unit-of-Use²	2022-2023 NDC Carton²	CVX Code†²
FLUAD® QUADRIVALENT (Influenza Vaccine, Adjuvanted)	Pre-filled syringe 0.5 mL	65 years and older	90694	70461-122-04	70461-122-03	205

90694=Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5-mL dosage, for intramuscular use

Download FLUAD® QUADRIVALENT Guide for more vaccine-specific details

Seqirus Vaccine Product Description	Presentation/ Dose³	Age Indication³	Vaccine Product CPT Code²	2022-2023 NDC Unit-of-Use²	2022-2023 NDC Carton²	CVX Code†²
FLUCELVAX® QUADRIVALENT (Influenza Vaccine)	Pre-filled syringe 0.5 mL	6 months and older	90674	70461-322-04	70461-322-03	171
FLUCELVAX® QUADRIVALENT (Influenza Vaccine)	Multi-dose vial^a 5 mL	6 months and older	90756	70461-422-11	70461-422-10	186

90674=Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5-mL dosage, for intramuscular use

90756=Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5-mL dosage, for intramuscular use

^aNo more than 10 doses (0.5 mL) should be withdrawn from the FLUCELVAX QUADRIVALENT multi-dose vial.

Download FLUCELVAX® QUADRIVALENT Guide for more vaccine-specific details

Seqirus Vaccine Product Description	Presentation/ Dose⁴	Age Indication⁴	Vaccine Product CPT Code²	2022-2023 NDC Unit-of-Use²	2022-2023 NDC Carton2	CVX Code†²
AFLURIA® QUADRIVALENT (Influenza Vaccine)	Pre-filled syringe 0.5 mL	36 months and older	90686	33332-322-04	33332-322-03	150
	Multi-dose vial^b 5 mL	6 through 35 months	90687 (0.25-mL dose)	33332-422-11	33332-422-10	158
	Multi-dose vial^b 5 mL	36 months and older	90688 (0.5-mL dose)	33332-422-11	33332-422-10	158

90686=Influenza vaccine, quadrivalent (IIV4), split virus, preservative-free, 0.5-mL dosage, for intramuscular use

90687=Influenza vaccine, quadrivalent (IIV4), split virus, 0.25-mL dosage, for intramuscular use

90688=Influenza vaccine, quadrivalent (IIV4), split virus, 0.5-mL dosage, for intramuscular use

^bNo more than 10 doses (0.25 mL or 0.5 mL) should be withdrawn from the AFLURIA QUADRIVALENT multi-dose vial.

Download AFLURIA® QUADRIVALENT Guide for more vaccine-specific details

*This information does not constitute a guarantee or warranty of coverage benefits or reimbursement.

†CVX=vaccine administered code indicates which product was used and is used in combination with the manufacturer (MVX) code. The MVX code for Seqirus is SEQ.

FLUAD® QUADRIVALENT
FLUAD® QUADRIVALENT
(Influenza Vaccine, Adjuvanted)
- Presentation/Dose⁴
  Pre-filled syringe 0.5 mL
- Age Indication⁴
  65 years and older
- Vaccine Product CPT Code²
  90694
- 2022-2023 NDC Unit-of-Use²
  70461-122-04
- 2022-2023 NDC Carton²
  70461-122-03
- CVX Code^†2
  205
Download FLUAD
QUADRIVALENT Guide for more vaccine
-specific details
90694=Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5-mL dosage, for intramuscular use
Flucelvax®
QUADRIVALENT
FLUCELVAX® QUADRIVALENT
(Influenza Vaccine)
- Presentation/Dose⁴
  Pre-filled syringe 0.5 mL
- Age Indication⁴
  6 months and older
- Vaccine Product CPT Code²
  90674
- 2022-2023 NDC Unit-of-Use²
  70461-322-04
- 2022-2023 NDC Carton²
  70461-322-03
- CVX Code^†2
  
  171
- Presentation/Dose⁴
  Multi-dose vial^a 5 mL
- Age Indication⁴
  6 months and older
- Vaccine Product CPT Code²
  90756
- 2022-2023 NDC Unit-of-Use²
  70461-422-11
- 2022-2023 NDC Carton²
  70461-422-10
- CVX Code^†2
  
  186
Download FLUCELVAX
QUADRIVALENT Guide for more vaccine
-specific details
90674=Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5-mL dosage, for intramuscular use
90756=Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5-mL dosage, for intramuscular use
^aNo more than 10 doses (0.5 mL) should be withdrawn from the FLUCELVAX QUADRIVALENT multi-dose vial.
Afluria® QUADRIVALENT
AFLURIA® QUADRIVALENT
(Influenza Vaccine)
- Presentation/Dose⁴
  Pre-filled syringe 0.5 mL
- Age Indication⁴
  36 months and older
- Vaccine Product CPT Code²
  90686
- 2022-2023 NDC Unit-of-Use²
  33332-322-04
- 2022-2023 NDC Carton²
  
  33332-322-03
- CVX Code^†2
  150
- Presentation/Dose⁴
  Multi-dose vial^b 5 mL
- Age Indication⁴
  6 through 35 months
  36 months and older
- Vaccine Product CPT Code²
  90687 (0.25-mL dose)
  90688 (0.5-mL dose)
- 2022-2023 NDC Unit-of-Use²
  33332-422-11
- 2022-2023 NDC Carton²
  
  33332-422-10
- CVX Code^†2
  158
Download AFLURIA
QUADRIVALENT Guide for more vaccine
-specific details
90686=Influenza vaccine, quadrivalent (IIV4), split virus, preservative-free, 0.5-mL dosage, for intramuscular use
90687=Influenza vaccine, quadrivalent (IIV4), split virus, 0.25-mL dosage, for intramuscular use
90688=Influenza vaccine, quadrivalent (IIV4), split virus, 0.5-mL dosage, for intramuscular use
^bNo more than 10 doses (0.25 mL or 0.5 mL) should be withdrawn from the AFLURIA QUADRIVALENT multi-dose vial.

*This information does not constitute a guarantee or warranty of coverage benefits or reimbursement.

†CVX=vaccine administered code indicates which product was used and is used in combination with the manufacturer (MVX) code. The MVX code for Seqirus is SEQ.

Coding is less complex with a little help

Follow this example form, and find more examples when you download our comprehensive Seqirus Coding and Billing Guide.^1,5-8

If required by payer, 11-digit NDC format using the carton NDC. If payer requires NDC, use the "N4" qualifier immediately, followed by the 11-digit carton NDC, followed by the qualifier "ML" for milliliter and the quantity as shown in the shaded area

Coding and billing sample form highlighting NDC code

R29.6=repeated falls

Coding and billing sample form highlighting repeated falls

Refer back to the appropriate diagnosis code on each line, including the vaccine and the vaccine administration

Coding and billing sample form highlighting diagnosis pointer

Z23=encounter for immunization

Coding and billing sample form highlighting encounter for immunization

99203=office or other outpatient visit for the E&M of a new patient

Coding and billing sample form highlighting office or outpatient visit for new patient

90694=FLUAD QUADRIVALENT

Coding and billing sample form highlighting code for FLUAD QUADRIVALENT flu vaccine

G0008=administration

Coding and billing sample form highlighting code for vaccine administration

25=modifier (See page 6: Code for the administration service)

Coding and billing sample form highlighting code for modifier 25

R29.6=repeated falls

Refer back to the appropriate diagnosis code on each line, including the vaccine and the vaccine administration

Z23=encounter for immunization

99203=office or other outpatient visit for the E&M of a new patient

90694=FLUAD QUADRIVALENT

G0008=administration

25=modifier (See page 6: Code for the administration service)

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References: 1. FLUAD QUADRIVALENT. Package insert. Seqirus Inc; 2020. 2. Centers for Disease Control and Prevention. CPT codes mapped to CVX codes. Accessed February 18, 2021. https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cpt 3. FLUCELVAX QUADRIVALENT. Package insert. Seqirus Inc 2021. 4. AFLURIA QUADRIVALENT. Package insert. Seqirus Inc 2020. 5. American Academy of Family Physicians. Medicare Part B and Part D vaccine coverage. Accessed November 18, 2020. https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/medicare-vaccine-coverage.html 6. Procedural Coding Expert: The Ultimate Guide to CPT® Coding. Contexo Media; 2013. 7. Centers for Medicare & Medicaid Services. ICD-10-CM tabular list of diseases and injuries. Accessed November 18, 2020. https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2020-ICD-10-CM-Code-Tables.zip

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