2025 HCPCS code Q2036

Influenza virus vaccine, split virus, for intramuscular use (Flulaval), administered to individuals 3 years of age and older.

Use this code specifically for the Flulaval brand of split virus influenza vaccine administered intramuscularly to individuals 3 years and older. For other influenza vaccines or routes of administration, use the appropriate corresponding HCPCS or CPT code.

Medical necessity is generally established by the prevalence of influenza and the recommendation of annual vaccination by public health agencies.

A healthcare provider (physician, nurse, pharmacist, etc.) is responsible for administering the vaccine according to established guidelines and ensuring proper documentation.

IMPORTANT For other influenza virus vaccines, see similar codes in the Influenza Virus Vaccines section (Q2034-Q2039). CPT code 90656 may be applicable depending on the payer and specific circumstances.

In simple words: This code covers a flu shot (Flulaval) given in the muscle for people 3 years and older.

This HCPCS code describes the administration of the split virus influenza vaccine, Flulaval, to individuals aged 3 years and older via intramuscular injection.

Example 1: A 5-year-old child receives their annual flu shot (Flulaval) at their pediatrician's office., A 70-year-old patient receives the Flulaval vaccine at a community health clinic during flu season., A healthy 30-year-old individual receives the Flulaval vaccine at a pharmacy.

Documentation should include the vaccine manufacturer (Flulaval), date of administration, dosage, route of administration (intramuscular), site of injection, lot number, and the administering provider's information.

  • Payment Status: Active
  • Specialties:Family Medicine, Pediatrics, Internal Medicine, Public Health, Pharmacy
  • Place of Service:Office, Pharmacy, Public Health Clinic, Other Place of Service
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