2025 HCPCS code Q2034
(Active) Effective Date: N/A Revision Date: N/A Immunizations - Influenza Virus Vaccines Influenza Virus Vaccines Feed
Influenza virus vaccine, split virus, for intramuscular use (Agriflu).
Modifiers may be applicable depending on the circumstances of service.Consult the payer's specific guidelines for details.
Medical necessity for influenza vaccination is generally established based on recommendations from the CDC and ACIP for high-risk populations or general prevention during flu season. Documentation supporting the patient’s need for the vaccine must be present to ensure appropriate reimbursement.
The clinical responsibility lies with the physician or qualified healthcare professional who administers the vaccine. This includes proper assessment of the patient's health status to determine vaccine suitability, administering the vaccine using appropriate technique, providing post-injection education and monitoring for adverse reactions, and documenting all aspects of the procedure thoroughly.
In simple words: This code is for the flu shot (Agriflu), a type of flu vaccine given as a shot in the arm to help prevent the flu. It's made from a split-up flu virus, so it usually causes less side effects compared to other flu vaccines.This shot does not cure a flu infection if you already have it; it helps prevent you from getting sick.
HCPCS code Q2034 represents the administration of Agriflu, a split-virus influenza vaccine given intramuscularly.This vaccine is designed to prevent influenza infection caused by influenza A and B viruses.The split-virus nature generally results in fewer adverse reactions compared to whole-virus vaccines. Administration involves injecting the vaccine into the deltoid muscle of the upper arm.It is crucial to understand that this vaccine is preventative and does not treat existing influenza infections.
Example 1: A 65-year-old patient presents for their annual influenza vaccination. The physician administers the Agriflu vaccine intramuscularly in the deltoid muscle, provides education about potential side effects, and documents the administration in the patient's chart., A public health clinic administers Agriflu to multiple patients during a community flu vaccination event.Each dose is billed individually using Q2034 with appropriate documentation, including patient identifiers and vaccine lot numbers., A patient with egg allergies needs a flu shot.After confirming that Agriflu is appropriate based on the patient’s allergies, the physician administers the vaccine and provides detailed allergy documentation.
* Patient demographics (name, date of birth, medical record number)* Date of service* Vaccine administered (Agriflu, Q2034)* Route of administration (intramuscular)* Site of administration (deltoid)* Lot number and expiration date of the vaccine* Physician or qualified healthcare professional signature and credentials* Documentation of pre-vaccine screening (allergies, contraindications)* Patient education regarding potential side effects* Any adverse reactions observed after administration
** Always refer to the most current payer guidelines and the official HCPCS codebook for accurate coding and reimbursement information.Ensure proper documentation is maintained to support the medical necessity and clinical validity of the vaccination.
- Revenue Code: Revenue codes will vary depending on the payer and place of service.
- RVU: RVUs are not directly assigned to HCPCS codes. Reimbursement is determined by the payer's fee schedule and may vary based on location and other factors.
- Global Days : Not applicable.This is for a vaccine administration, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not applicable to Q2034, as it refers to the vaccine product itself.
- Fee Schedule : Historical fee schedule data is not readily available in this source. Consult payer-specific fee schedules for historical reimbursement information.
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Public Health
- Place of Service:Office, Clinic, Public Health Clinic, Hospital, Other