2025 HCPCS code Q2035

Administering Afluria® influenza vaccine (split virus) to individuals aged 3 years and older via intramuscular injection.

Follow current HCPCS coding guidelines for immunizations. Accurate documentation is essential for proper reimbursement.

Modifiers may apply depending on the circumstances of administration (e.g., multiple vaccines administered).

Annual influenza vaccination is medically necessary for individuals at risk of complications from influenza infection.This includes older adults, children, pregnant women, and those with chronic health conditions.

Administering the vaccine; assessing patient eligibility and suitability for the vaccine; documenting the administration, patient reaction, and any pertinent details.

IMPORTANT Refer to similar codes in the Vaccine, toxoids section for other influenza virus vaccines.

In simple words: This code is for giving the flu shot (Afluria®) to prevent the flu.It's an injection given to people 3 years or older. The shot uses an inactive flu virus so you can't get sick from it but your body develops immunity to protect you from the flu.You'll need a new shot each year because flu viruses change.

This HCPCS code, Q2035, covers the administration of the Afluria® influenza vaccine, a split virus (subunit) vaccine, to prevent influenza infection in individuals aged 3 years or older.The vaccine is administered intramuscularly (injection into a muscle), typically in the deltoid muscle of the upper arm.Afluria® is a killed virus vaccine, meaning it contains inactive influenza viruses. This allows the body to build immunity against the specific strains included in the vaccine without causing the illness.The vaccine is effective against influenza A and B viruses but does not treat existing infections. Annual revaccination is typically recommended due to variations in circulating influenza strains.

Example 1: A 65-year-old patient presents for their annual influenza vaccination.The provider administers Afluria® intramuscularly in the left deltoid. Documentation includes the vaccine lot number, date of administration, and patient's reaction., A 4-year-old child presents for their first influenza vaccination.The provider administers Afluria®, providing education to the parent regarding potential side effects. Post-vaccine observation is documented., A 30-year-old pregnant woman receives Afluria® during her routine prenatal visit.Appropriate documentation highlights the pregnancy status and any precautions taken.

Patient demographics, vaccine lot number, date of administration, site of injection, dose administered, patient's reaction, any contraindications or allergies, and provider's signature.

** This code covers only the administration of Afluria®.Separate codes might be required for the vaccine itself if it is billed separately.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.