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AMA Creates New CPT Codes for H1N1 Immunizations

With both seasonal influenza and H1N1 influenza circulating this flu season, the American Medical Association (AMA) announced that it has expedited the publication of a new code specific to vaccine administration and revised existing code 90663 to include the H1N1 vaccine.

The new CPT code issued by the AMA will streamline the reporting and reimbursement procedure for physicians and healthcare providers who are expected to administer nearly 200 million doses of the H1N1 vaccine in the United States. The codes will also help to efficiently report and track immunization and counseling services related to the H1N1 vaccine throughout the healthcare system.

In consultation with Health and Human Services, the AMA CPT Editorial Panel created code 90470 to report H1N1 immunization administration and counseling. Code 90663 was revised by the CPT Editorial Panel to refer specifically to the H1N1 vaccine product. Both revised code 90663 and Category I CPT Code 90470 are effective immediately.

For quick reference, the two codes are as follows:

• 90470 — H1N1 immunization administration (intramuscular, intranasal), including counseling when performed

• 90663 — Influenza virus vaccine, pandemic formulation, H1N1

Source: American Medical Association