Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
Q2038 |
HCPCS Sequence Number |
0010 |
HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
HCPCS Long Description |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
HCPCS Short Description |
Fluzone vacc, 3 yrs & >, im |
HCPCS Pricing Indicator Code 1 |
54 - Vaccinations |
HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
HCPCS Medicare Carriers Manual Reference Section Number 1 |
2049.4 |
HCPCS Coverage Code |
D - Special coverage instructions apply |
HCPCS Berenson-Eggers Type Of Service Code |
O1G - Immunizations/Vaccinations |
HCPCS Type Of Service Code 1 |
V - Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95 |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/2011 |
HCPCS Action Effective Date |
1/1/2014 |
HCPCS Action Code |
N - No maintenance for this code |