2025 HCPCS code Q2037

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

Use Q2037 specifically for the Fluvirin vaccine when administered intramuscularly to individuals 3 years and older. For other influenza vaccines or routes of administration, use the appropriate corresponding code.

Modifiers may be applicable in certain situations, such as when billing for discarded doses of a multi-dose vial (JW modifier).

Influenza vaccination is recommended annually for most individuals over 6 months of age to prevent influenza infection and its complications.

Administered by a healthcare provider in the deltoid muscle of the upper arm. The provider should confirm the patient's age and suitability for this specific vaccine.

IMPORTANT Other influenza virus vaccines: Q2035 (Afluria), Q2036 (Flulaval), Q2038 (Fluzone), Q2039 (Not otherwise specified),90666 (Pandemic formulation), and other CPT codes depending on the specific vaccine and dosage (e.g., 90656, 90657, 90658, 90662, 90673).

In simple words: This is a flu shot (Fluvirin) given in the muscle to people 3 years and older to help protect them from getting the flu.

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

Example 1: A 5-year-old child receives their annual flu shot using Fluvirin at their pediatrician's office., A 70-year-old adult receives the Fluvirin vaccine at a community flu clinic., A 40-year-old patient with egg allergies receives the Fluvirin vaccine (checking for contraindications first) because it is not grown in eggs.

Documentation should include the vaccine administered (Fluvirin), the date of administration, the dosage, the site of administration, and the lot number of the vaccine. Any adverse reactions should also be documented. For Medicare claims, the administration code G0008 should also be reported.

** The information provided here is current as of December 1, 2024, and may be subject to change. Always verify coding and reimbursement guidelines with the relevant payers and coding manuals.HCPCS codes are updated annually, and it is crucial to use the correct codes for the current flu season.

  • Payment Status: Active
  • Specialties:Pediatrics, Family Medicine, Internal Medicine, Geriatrics, Public Health
  • Place of Service:Physician's office, Public Health Clinic, Pharmacy, and other places where vaccines are administered.
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