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H1N1 Added to HealthSmart's Fee Schedules

HealthSmart has updated all of our professional fee schedules with the two new Level II Healthcare Common Procedure Coding System (HCPCS) codes for the H1N1 Vaccine. These HCPCS codes were added to the 2009 Medicare Physician Fee Schedule Database on September 25, 2009. We ask that Providers submitting claims to any HealthSmart network use these new codes in regard to the H1N1 Vaccine. The two new HCPCS codes are the following: 

HCPCS CODES

DESCRIPTION

G9141

Influenza A H1N1 immunization administration (includes the physician counseling the patient/family)

G9142

Influenza A H1N1 vaccine itself


Because the vaccine is being supplied to providers at no cost, there will not be any allowable for the actual vaccine (G9142), only its administration (G9141).

Links For Providers Regarding H1N1

SOURCE

ISSUE

LINK

Medicare

Medicare's Fact Sheet for MFFS Billing for Influenza A (H1N1) Flu Vaccine and its Administration

CLICK HERE

Flu.gov

H1N1 Guidance for Hospitals, Clinics, Clinicians and Laboratories

CLICK HERE

Centers for Disease Control and Prevention (CDC)

H1N1 Vaccine Distribution Q&A

CLICK HERE

CDC

2009 H1N1 Vaccination Campaign Planning Checklist

CLICK HERE

American Health Lawyers Association

Community Pan-Flu Preparedness: A Checklist of Key Legal Issues For Healthcare Providers

CLICK HERE

Health Resources and Services Administration

Guidance on Preparations for the 2nd Phase of H1N1 Pandemic

CLICK HERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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