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The nasal spray flu vaccine contains weakened (attenuated) viruses, so that they will not cause flu illness. The weakened viruses are cold-adapted, which means they are designed to only multiply at the cooler temperatures found within the nose, and not the lungs or other areas where warmer temperatures exist.
Vaccine CPT Code to ReportCPT Code Description90686Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use90688Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use4 more rows • 31 Aug 2021
Live, attenuated influenza vaccine (called \u201cLAIV\u201d) is a nasal spray vaccine that may be given to non-pregnant people 2 through 49 years of age. It takes about 2 weeks for protection to develop after vaccination. There are many flu viruses, and they are always changing.
If physicians believe that Medicare will deny such service, reporting with a GA modifier is appropriate. The beneficiary must sign an Advance Beneficiary Notification (ABN), and 90686 CPT code must apply the GA modifier to that service.
90686=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5-mL dosage, for intramuscular use.
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Recombinant influenza (flu) vaccines are produced using recombinant technology. This method does not require an egg-grown vaccine virus and does not use chicken eggs in the production process. Recombinant flu vaccine was first licensed by the FDA in the United States in 2013.
High-Dose Quadrivalent. Use the CPT code for the vaccine administered (90686) and link to the diagnosis code for the immunization.
Payment Allowances and Effective Dates for the 2021-2022 Flu Season: CodeLabeler NameEffective Dates90672MedImmune08/26/2021 \u2013 07/31/202290674Seqirus08/11/2021 \u2013 07/31/202290682Sanofi Pasteur08/01/2021 \u2013 07/31/202290685Sanofi Pasteur Seqirus08/01/2021 \u2013 07/31/20226 more rows
People who care for severely immunocompromised persons who require a protected environment (or otherwise avoid contact with those persons for 7 days after getting the nasal spray vaccine) People without a spleen, or with a non-functioning spleen. Pregnant people.
Influenza (flu) vaccines (often called \u201cflu shots\u201d) are vaccines that protect against the four influenza viruses that research indicates will be most common during the upcoming season. Most flu vaccines are \u201cflu shots\u201d given with a needle, usually in the arm, but there also is a nasal spray flu vaccine.