2025 HCPCS code G0008

Administration of influenza virus vaccine.

Refer to CMS and payer-specific guidelines for complete billing and coding instructions.

Modifiers may apply depending on the circumstances of service. Consult payer-specific guidelines for applicable modifiers.

Generally, the medical necessity for influenza vaccination is established based on CDC recommendations and patient risk factors such as age, underlying health conditions, and pregnancy.

The provider counsels the patient and/or family, provides instructions and precautions, and administers the influenza vaccination via an appropriate route after proper patient preparation.

IMPORTANT For commercial payers, 90471 (Immunization administration) may be necessary;check with the individual payer for their requirements. The actual vaccine itself should be reported separately using codes Q2034-Q2039.

In simple words: This code is used when a doctor or healthcare provider gives you a flu shot (influenza vaccine).The shot protects you from getting the flu.

This HCPCS code, G0008, represents the administration of the influenza virus vaccine.The administration may be via various routes including percutaneous, intradermal, subcutaneous, or intramuscular injection. This vaccination aims to provide immunity against influenza, a severe and contagious respiratory illness commonly known as the flu.

Example 1: A 65-year-old patient receives an influenza vaccination during their annual checkup at a physician's office., A healthcare worker at a local clinic administers influenza vaccines to several employees during a workplace wellness event., A patient receives an influenza vaccine at a pharmacy during a flu vaccination campaign.

Patient demographics, date of service, vaccine administered (including lot number and expiration date), route of administration, any adverse reactions, and provider signature.

** This code is specific to the administration of the influenza vaccine.Always confirm the specific vaccine administered to ensure accurate coding.It is important to consult the payer's guidelines and policies to ensure proper reimbursement.

  • Payment Status: Active
  • Modifier TC rule: Not applicable.
  • Fee Schedule : Fee schedules vary by payer and location.Refer to the specific payer's fee schedule for the most current rates. Historical fee data is available through payer websites and other billing resources.
  • Specialties:Family Medicine, Internal Medicine, Pediatrics, Occupational Medicine
  • Place of Service:Office, Clinic, Pharmacy,Other Place of Service
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.