Anyone Know The California Medical Insurance Procedure Code For Receiving A Flu Shot?

[Jerold]

I have PPO insurance through Blue Cross of California. I had a flu shot at my local pharmacy, paid for it myself and submitted the paperwork to the insurer. Blue Cross is refusing to reimburse me unless I get a procedure code from the drugstore. Fat chance. I'd like to resubmit my claim with a procedure code and, hopefully, the pharmacist's signature. Any suggestions out there?

[Stephanos]

The code for Influenza Immunization is 90656 for an adult, and an IM shot, not for the nasal vaccine. The administration code is G0008 and the ICD-9 or diagnosis code is V04.81. They should be able to process your claim with this information(It was just a flu shot right? not mixed with any other shot?) Was it a prefilled syringe? If it was drawn from a multi-dose vial it changes the code to 90658.   Im sure the pharmacy would give you the code.

[Amoux]

I don't think the pharmacy charged you more than $20. so you can avoid a possible stroke by making it up somewhere else.  for all you folks that have not heard:  You can get a flu shot at any local Health Dept. for about $4- or $5.00.

[Barr]

There are variables The code for Influenza Immunization is 90656 for an adult, and an IM shot, not for the nasal vaccine. The administration code is G0008 and the ICD-9 or diagnosis code is V04.81. They should be able to process your claim with this information(It was just a flu shot right? not mixed with any other shot?) Was it a prefilled syringe? If it was drawn from a multi-dose vial it changes the code to 90658.   Im sure the pharmacy would give you the code. Sources: 20 years in the medical administration/billing field Beth_R 73 months ago Please sign in to give a compliment. Please verify your account to give a compliment. Please sign in to send a message. Please verify your account to send a message.

[Norris]

You will save yourself a ton of anger by just calling it a bad debt. I don't think the pharmacy charged you more than $20. so you can avoid a possible stroke by making it up somewhere else.  for all you folks that have not heard:  You can get a flu shot at any local Health Dept. for about $4- or $5.00. gonefishing 73 months ago Please sign in to give a compliment. Please verify your account to give a compliment. Please sign in to send a message. Please verify your account to send a message.