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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