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Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use ICD-10 Code: Z23 HCPCS & CPT Codes Administration & Diagnosis Codes You can bill for flu shot administration and vaccine products with dates of service from Septem– June 30, 2023.

Skilled nursing facility enforcement discretion for pharmacy billing ended on June 30, 2023.

Entities, like local health facilities, must get an NPI (PDF) if they’ve never submitted Medicare claims.

Learn more about roster billing, mass immunizers, and centralized billing.

You may use roster billing or submit an individual claim.

All providers who administer the flu shot must accept assignment.

If you need help, contact your eligibility service provider. We give information from claims billed in the last 18 months:

You can now check eligibility (PDF) for the flu shot.

There’s no copayment, coinsurance, or deductible.

Your patients pay nothing if you accept assignment.

Patients can get flu shots twice in a calendar year during 2 different flu seasons, and we’ll pay for both shots.

We cover additional flu shots if medically necessary.

Medicare Part B covers the seasonal flu shot.

The CDC recommends annual flu shots for everyone 6 months and older by the end of October or as soon as possible each flu season.

If one of these recommended vaccines isn’t available, give your patients a standard-dose flu vaccine instead.Fluad Quadrivalent adjuvanted flu vaccine.Flublok Quadrivalent recombinant flu vaccine.Preferred vaccines are potentially more effective than standard dose flu vaccines. Patients 65 and older should get a preferred vaccine if available.Get payment allowances & effective dates for the 2022-2023 season.If you're a person with Medicare, learn more about flu shots. This content is for health care providers.