Monday, September 12, 2011

DX V80.1, V06.6, & V04.81 - Vaccine CPT codes

Glaucoma Screening CPT code

G0117 – By an optometrist or ophthalmologist
G0118 – Under the direct supervision of an optometrist or ophthalmologist

Covered DX - V80.1

Medicare beneficiaries with diabetes mellitus, family history of glaucoma, African-Americans aged 50 and older, or Hispanic-Americans aged 65 and older

Annually for beneficiaries in one of the high risk groups

Copayment/coinsurance applies
Deductible applies

Seasonal Influenza Virus Vaccine CPT codes

90655, 90656, 90657, 90660, 90662, Q2035, Q2036, Q2037, Q2038, Q2039 – Influenza Virus Vaccine

G0008 – Administration

Valid DX - 

Report one of the following codes: V04.81

V06.6 – When purpose of visit was to receive both seasonal influenza virus and pneumococcal vaccines

All Medicare beneficiaries
Once per influenza season in the fall or winter
Medicare may provide additional flu shots if medically necessary

Copayment/coinsurance waived
Deductible waived

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