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? Contact our flu360 Customer Service team at customerservice.us@seqirus.com.
Quick Coding Reference
Easily find CPT codes, NDC numbers, CVX codes, and more.*
FLUAD®
FLUCELVAX®
AFLURIA®
| CSL Seqirus Vaccine Product Description |
Presentation/ Dose1 |
Age Indication1 | Vaccine Product CPT Code2 | 2024-2025 NDC Unit-of-Use1 |
2024-2025 NDC Carton1 | CVX Code†2 |
|---|---|---|---|---|---|---|
| FLUAD® (Influenza Vaccine, Adjuvanted) | Pre-filled syringe 0.5 mL | 65 years and older |
90653 | 70461-024-04 | 70461-024-03 | 168 |
| CSL Seqirus Vaccine Product Description | Presentation/ Dose3 |
Age Indication3 | Vaccine Product CPT Code2 | 2024-2025 NDC Unit-of-Use3 | 2024-2025 NDC Carton3 | CVX Code†2 |
|---|---|---|---|---|---|---|
| FLUCELVAX® (Influenza Vaccine) |
Pre-filled syringe 0.5 mL | 6 months and older | 90661 | 70461-654-04 | 70461-654-03 | 153 |
| Multi-dose viala 5 mL | 6 months and older | 90661 | 70461-554-11 | 70461-554-10 | 320 |
| CSL Seqirus Vaccine Product Description | Presentation/ Dose4 | Age Indication4 | Vaccine Product CPT Code2 | 2024-2025 NDC Unit-of-Use4 | 2024-2025 NDC Carton4 | CVX Code†2 |
|---|---|---|---|---|---|---|
| AFLURIA® (Influenza Vaccine) | Pre-filled syringe 0.5 mL | 36 months and older | 90656 | 33332-024-04 | 33332-024-03 | 140 |
| Multi-dose vialb 5 mL | 6 through 35 months | 90657 (0.25-mL dose) | 33332-124-11 | 33332-124-10 | 141 | |
| 36 months and older | 90658 (0.5-mL dose) |
-
FLUAD®
FLUAD®
(Influenza Vaccine, Adjuvanted)Presentation/Dose4
Pre-filled syringe 0.5 mL
Age Indication4
65 years and older
Vaccine Product CPT Code2
90653
2024-2025 NDC Unit-of-Use1
70461-024-04
2024-2025 NDC Carton1
70461-024-03
CVX Code†2
168
Download FLUAD
Guide for more vaccine
-specific details
90653=Influenza vaccine, inactivated(IIV), subunit, adjuvanted, for intramuscular use
-
FLUCELVAX®
FLUCELVAX®
(Influenza Vaccine)Presentation/Dose4
Pre-filled syringe 0.5 mL
Age Indication4
6 months and older
Vaccine Product CPT Code2
90661
2024-2025 NDC Unit-of-Use3
70461-654-04
2024-2025 NDC Carton3
70461-654-03
CVX Code†2
153
Presentation/Dose4
Multi-dose viala 5 mL
Age Indication4
6 months and older
Vaccine Product CPT Code2
90661
2024-2025 NDC Unit-of-Use3
70461-554-11
2024-2025 NDC Carton3
70461-554-10
CVX Code†2
320
Download FLUCELVAX
Guide for more vaccine
-specific details
90661=Influenza virus vaccine, trivalent (ccIIV3), 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 multi-dose vial.
-
AFLURIA®
AFLURIA®
(Influenza Vaccine)Presentation/Dose4
Pre-filled syringe 0.5 mL
Age Indication4
36 months and older
Vaccine Product CPT Code2
90656
2024-2025 NDC Unit-of-Use4
33332-024-04
2024-2025 NDC Carton4
33332-024-03
-
CVX Code†2
140
Presentation/Dose4
Multi-dose vialb 5 mL
Age Indication4
6 through 35 months
36 months and older
Vaccine Product CPT Code2
90657 (0.25-mL dose)
90658 (0.5-mL dose)
2024-2025 NDC Unit-of-Use4
33332-124-11
2024-2025 NDC Carton4
33332-124-10
CVX Code†2
141
Download AFLURIA
Guide for more vaccine
-specific details
90656=Influenza vaccine, trivalent (IIV3), split virus, preservative-free, 0.5-mL dosage, for intramuscular use
90657=Influenza vaccine, trivalent (IIV3), split virus, 0.25-mL dosage, for intramuscular use
90658=Influenza vaccine, trivalent (IIV3), 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 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 CSL Seqirus is SEQ.
Coding is less complex with a little help
Follow this example form, and find more examples when you download our comprehensive CSL Seqirus Coding and Billing Guide.1,2,5-7
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
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
90653=FLUAD
G0008=administration
25=modifier (See page 6: Code for the administration service)
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
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
90653=FLUAD
G0008=administration
25=modifier (See page 6: Code for the administration service)
Featured Resources
References: 1. FLUAD. Package insert. Seqirus Inc. 2. Centers for Disease Control and Prevention. CPT codes mapped to CVX codes. Accessed March 8, 2024. https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cpt 3. FLUCELVAX. Package insert. Seqirus Inc. 4. AFLURIA. Package insert. Seqirus Inc. 5. Centers for Medicare & Medicaid Services. Flu shot & administration. Accessed March 8, 2024. https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/medicare-preventive-services/MPS-QuickReferenceChart-1.html#FLU 6. American Medical Association. Current Procedural Terminology 2024 (Professional Edition). American Medical Association; 2023. 7. Centers for Disease Control and Prevention. ICD-10-CM tabular list of diseases and injuries. Accessed May 7, 2024. https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD10CM/2022/icd10cm-tabular-2022-April-1.pdf