| HCPCS Code: |
Q2038 |
| Long Description: |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
| Short Description: |
Fluzone vacc, 3 yrs & >, im |
| Pricing Indicator 1: |
54 (Vaccinations) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| MCM Reference Section Number 1: |
2049.4 |
| Statute Number: |
|
| Coverage Code: |
D (Special coverage instructions apply) |
| 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: |
01-01-2011 |
| Action Effective Date: |
01-01-2014 |
| Action Code: |
P (Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)) |
