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Influenza and Pneumococcal Vaccines

Coding Corner

The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.

Influenza and Pneumococcal Vaccines
According to the Centers for Disease Control and Prevention, flu activity is beginning to increase and further increases are expected in the coming weeks and months. The Centers for Medicare and Medicaid Services reminds providers that now is the time to protect against flu before activity increases in the community. About five to 20 percent of the population gets the flu each year and more than 200,000 people are hospitalized because of flu-related complications. Each office visit is an opportunity to talk with your patients about the importance of getting an annual flu vaccination and a pneumococcal vaccination, according to the recommended schedule. The influenza and pneumococcal vaccines and their administration fees are covered Part B benefits. Additional information on coverage, coding and delivery of preventive immunizations is available at www.cms.gov/Medicare/Prevention/Immunizations/index.html?redirect=/immunizations.