The American Medical Association has created a new Current Procedural Terminology code (90470) and revised an existing code (90663) for use with H1N1 vaccinations, according to a statement.
The new and revised CPT codes are expected to help streamline vaccination reporting and reimbursement as physicians across the United States administer nearly 200 million doses of the new H1N1 vaccine this fall.
The details of the codes are as follows:
▸ 90470: H1N1 immunization, both intramuscular and intranasal, including counseling
▸ 90663: Influenza virus vaccine (pandemic H1N1 formulation)
Both the new Category I CPT Code 90470 and the revised code 90663 are effective immediately. Code 90470 was created for use when reporting H1N1 vaccination and counseling, while code 90663 was revised to include the specific H1N1 vaccine product.
To be paid for H1N1 vaccine administration, providers should bill 90663 in conjunction with 90470, the AMA said.
The 90663 code should be billed at zero dollars, because the vaccine itself is being provided by the federal government at no charge.