| HCPCS Code: |
G9142 |
| Long Description: |
Influenza a (h1n1) vaccine, any route of administration |
| Short Description: |
Influenza a h1n1, vaccine |
| Pricing Indicator 1: |
13 (Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Coverage Code: |
C (Carrier judgment) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
O1G (Influenza immunization) |
| Type of Service Code 1: |
V (Pneumococcal/flu vaccine (effective 01/96), Pneumococcal/flu/hepatitis B vaccine (effective 04/95-12/95), Pneumococcal only before 04/95) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-09-2009 |
| Action Effective Date: |
01-01-2013 |
| Termination Date: |
31-12-2012 |
| Action Code: |
N (No maintenance for this code) |
