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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.

Seqirus Portfolio Coding and Billing Guide

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?
Call flu360 | Support at 855-358-8966, option 2.

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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	2021-2022 NDC Unit-of-Use²	2021-2022 NDC Carton²	CVX Code†²
FLUAD® QUADRIVALENT (Influenza Vaccine, Adjuvanted)	Pre-filled syringe 0.5 mL	65 years and older	90694	70461-121-04	70461-121-03	205

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

DownloadFLUAD® QUADRIVALENTGuide formore vaccine-specific details

Seqirus Vaccine Product Description	Presentation/ Dose³	Age Indication³	Vaccine ProductCPT Code²	2021-2022 NDC Unit-of-Use²	2021-2022 NDC Carton²	CVX Code†²
FLUCELVAX® QUADRIVALENT (Influenza Vaccine)	Pre-filled syringe 0.5 mL	6 months and older	90674	70461-321-04	70461-321-03	171
FLUCELVAX® QUADRIVALENT (Influenza Vaccine)	coding.billing.Multi-dose vial^a coding.billing.5ml	6 months and older	90756	70461-421-11	70461-421-10	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^aNo more than 10 doses (0.5 mL) should be withdrawn from the FLUCELVAX QUADRIVALENT multi-dose vial.

DownloadFLUCELVAX® QUADRIVALENTGuide formore vaccine-specific details

Seqirus Vaccine Product Description	Presentation/ Dose⁴	AgeIndication⁴	Vaccine ProductCPT Code²	2021-2022 NDC Unit-of-Use²	2021-2022 NDC Carton²	CVX Code†²
AFLURIA® QUADRIVALENT (Influenza Vaccine)	Pre-filled syringe 0.25 mL	6 through 36 months	90685	33332-221-21	33332-221-20	161
	Pre-filled syringe 0.5 mL	36 months and older	90686	33332-321-01	33332-321-01	150
	coding.billing.Multi-dose vial^b coding.billing.5ml	6 through 35 months	90687 (0.25-mL dose)	33332-421-11	33332-421-11	158
	coding.billing.Multi-dose vial^b coding.billing.5ml	coding.billing.36 months and older	90688 (0.5-mL dose)	33332-421-11	33332-421-11	158

90685=Influenza vaccine, quadrivalent (IIV4), split virus, preservative-free, 0.25-mL dosage, for intramuscular use

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.

DownloadAFLURIA® QUADRIVALENTGuide formore 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-filledsyringe 0.5 mL
- AgeIndication⁴
  
  65 yearsand older
- Vaccine ProductCPT Code²
  
  90694
- 2021-2022NDC Unit-of-Use²
  
  70461-121-04
- 2021-2022NDC Carton²
  
  70461-121-03
- CVXCode^†2
  
  205
DownloadFLUAD
QUADRIVALENTGuide 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-filledsyringe 0.5 mL
- AgeIndication⁴
  
  6 monthsand older
- Vaccine ProductCPT Code²
  
  90674
- 2021-2022NDC Unit-of-Use²
  
  70461-321-04
- 2021-2022NDC Carton²
  
  70461-321-03
- CVXCode^†2
  
  171
- Presentation/Dose⁴
  
  coding.billing.Multi-dose vial^a coding.billing.5ml
- AgeIndication⁴
  
  6 monthsand older
- Vaccine ProductCPT Code²
  
  90756
- 2021-2022NDC Unit-of-Use²
  
  70461-421-11
- 2021-2022NDC Carton²
  
  70461-421-10
- CVXCode^†2
  
  186
DownloadFLUCELVAX
QUADRIVALENTGuide 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-filledsyringe 0.25 mL
- AgeIndication⁴
  
  6 through35 months
- Vaccine ProductCPT Code²
  
  90685
- 2021-2022NDC Unit-of-Use²
  
  33332-221-21
- 2021-2022NDC Carton²
  
  33332-221-20
- CVXCode^†2
  
  161
- Presentation/Dose⁴
  
  Pre-filledsyringe 0.5 mL
- AgeIndication⁴
  
  36 monthsand older
- Vaccine ProductCPT Code²
  
  90686
- 2021-2022NDC Unit-of-Use²
  
  33332-321-02
- 2021-2022NDC Carton²
  
  33332-321-01
- CVXCode^†2
  
  150
- Presentation/Dose⁴
  
  coding.billing.Multi-dose vial^b coding.billing.5ml
- AgeIndication⁴
  
  6 through35 months
  
  36 monthsand older
- Vaccine ProductCPT Code²
  
  90687 (0.25-mL dose)
  
  90688 (0.5-mL dose)
- 2021-2022NDC Unit-of-Use²
  
  33332-421-11
- 2021-2022NDC Carton²
  
  33332-421-10/p>
- CVXCode^†2
  
  158
DownloadAFLURIA
QUADRIVALENTGuide for
more vaccine-specific details
90685=Influenza vaccine, quadrivalent (IIV4), split virus, preservative-free, 0.25-mL dosage, for intramuscular use
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 &ldquo N4&rdquo qualifier immediately, followed by the 11-digit carton NDC, followed by the qualifier &ldquo ML&rdquo 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)

FINANCIAL

Seqirus Portfolio Coding and Billing Guide

Access to the latest coding and billing info for the Seqirus flu vaccines all in one place.

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Seqirus Coding and Billing Pre-Recorded Webinar

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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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Coding and Billing Information

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