Billing for Influenza: New CPT Code 90674
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October 10, 2016

Billing for Influenza: New CPT Code 90674

The American Medical Association issued a new Current Procedural Terminology (CPT) code for influenza vaccine Fluecelax, CPT 90674, effective August 1, 2016 for Medicare claims.  However, Medicare claims processing systems will not be able to accept the new code until January 1, 2017. 

Until this time, providers should hold claims containing CPT 90674. 

Additionally, for home health, hospice and Part A providers who bill institutional claims, the CPT code 90674 will not be implemented until February 20, 2017.  Although CGS can accept claims with 90674 as of January 1, 2017, the claims will be held and paid once the Fiscal Intermediary Standard System (FISS) changes are implemented on February 20, 2017.

Please refer to the Medicare Learning Network (MLN) Matters® article MM9793External PDF for additional information.

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