The following table contains the applicable Medicare Part B payment allowances for HCPCS and CPT codes: Code . Download the 2020 Average Sales Price (ASP) Drug Pricing Files for up-to-date pricing information on all Medicare Part B drugs. The 2019-2020 influenza season is winding down, so now is a good time to start preparing for the 2020-2021 influenza season. code 90756. These payment allowances are effective Aug. 1, 2019, through July 31, 2020. Let’s start with a new CPT® The Centers for Medicare & Medicaid Services (CMS) add one new CPT vaccine code for the 2020-2021 flu season. See how to get flu shots coverage under Medicare & how health insurance program Part B covers costs for flu shots every flu season. Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use: 90660: Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use: 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use: 90672 virus vaccine code 90694 (Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use) is payable by Medicare. Code Vaccine Product Billing Code2 CPT AstraZeneca FluMist (LAIV4) 0.2 mL (single-use nasal spray) 0 2 through 49 years 149 90672 GlaxoSmithKline Fluarix (IIV4) 0.5 mL (single-dose syringe) 0 6 months & older3 150 90686 FluLaval (IIV4) 0.5 mL (single-dose syringe) 0 6 months & … Download the 2019 Average Sales Price (ASP) Drug Pricing Files for up-to-date pricing information on all Medicare Part B drugs. When the vaccine is furnished in the hospital outpatient department, payment for the vaccine is based on reasonable cost. This new code will be included on the 2020 Medicare Physician Fee Schedule Database file update and the annual HCPCS update. practitioners, and suppliers who administer the influenza virus vaccination and the pneumococcal vaccination must take assignment on the claim for the vaccine. … (**Effective for dates of service from August 1, 2017, through December 31, 2017, use code Q2039; Effective on or after the January 2018 release of the new influenza virus vaccine, use . Vaccine codes and payment allowances for the 2019-2020 season are shown in Table A. Vaccine Codes and Payment Allowances. The Medicare Part B payment allowance limits for seasonal influenza and pneumococcal vaccines are 95% of the Average Wholesale Price (AWP) as reflected in the published compendia except where the vaccine is furnished in a hospital outpatient department. Vaccine codes and payment allowances for the 2020-2021 season are shown in Table A. Learn more. These payment allowances are effective Aug. 1, 2020, through July 31, 2021. For more information, refer to the Quarterly Influenza Virus Vaccine Code Update – January 2018.) Influenza Virus Vaccine Code Update – January 2019.) MACs use the Centers for Medicare & Medicaid Services (CMS)