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Official Description

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)
Short Descr Flulaval vacc, 3 yrs & >, im
Related Drugs FLULAVAL 2014/2015
Coverage Special coverage instructions apply
Pricing Indicator(s) 54 – Vaccinations
MPI A – Not applicable, as HCPCS priced under one methodology
MCM 2049.4
BETOS O1G – Immunizations/Vaccinations
TOS Code(s) V – Pneumococcal/flu vaccine
Added Date 1/1/2011
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Influenza, Pneumococcal Pneumonia, Hepatitis B, and Covid-19 Vaccines; Monoclonal Antibody Therapy Product
ASC Payment Indicator Influenza vaccine; pneumococcal vaccine.
MUE 1
MUE Not applicable/unspecified.
IOM 100-02, 15, 50
OTS Orthotic No
CCS Clinical Classification 228 - Prophylactic vaccinations and inoculations
Date
Action
Notes
2011-01-01 Added Added
Code
Description
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