Fluzone 90655 Influenza virus vaccine, split virus ...

[Pages:1]Fluzone Pediatric PF SUSP

90655 Influenza virus vaccine, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use (Code price is per 0.25 mL)

Fluvirin INJ

90656 Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use (Code Price is per 0.5 mL dose)

Fluzone Pediatric PF SUSP

90656 Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use (Code Price is per 0.5 mL dose)

Fluzone Preservative Free SUSP

90656 Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use (Code Price is per 0.5 mL dose)

Fluarix SUSP

90656 Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use (Code Price is per 0.5 mL dose)

Afluria Preservative Free SUSP

90656 Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use (Code Price is per 0.5 mL dose)

Fluzone INJ

90657 Influenza virus vaccine, split virus, when administered to children 635 months of age, for intramuscular use (Code Price is per 0.25 mL dose)

Flulaval INJ

90657 Influenza virus vaccine, split virus, when administered to children 635 months of age, for intramuscular use (Code Price is per 0.25 mL dose)

Afluria SUSP

90657 Influenza virus vaccine, split virus, when administered to children 635 months of age, for intramuscular use (Code Price is per 0.25 mL dose)

Fluzone INJ

90658 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Code price is per 0.5 mL based on Fluzone for patients 3 through 17 years old) (For patients 18 years old and older Code Price = $10.50 per 0.5 mL)

Fluvirin INJ

90658 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Code price is per 0.5 mL based on Fluzone for patients 3 through 17 years old) (For patients 18 years old and older Code Price = $10.50 per 0.5 mL)

Flulaval INJ

90658 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Code price is per 0.5 mL based on Fluzone for patients 3 through 17 years old) (For patients 18 years old and older Code Price = $10.50 per 0.5 mL)

Afluria SUSP

90658 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Code price is per 0.5 mL based on Fluzone for patients 3 through 17 years old) (For patients 18 years old and older Code Price = $10.50 per 0.5 mL)

Administration Codes

90465 Immunization administration under 8 years of age (includes percutaneous, intradermal, subcutaneous, or intramuscular injections) when the physician counsels the patient/family; first injection (single or combination vaccine/toxoid), per day

90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); one vaccine (single or combination vaccine/toxoid) (Do not use 90471 in conjunction with 90473)

G0008 Administration of influenza virus vaccine

ICD9 Group

V04 Need for prophylactic vaccination and inoculation, Influenza

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