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Reporting of Diagnosis Code V06.6 on Influenza Virus and/or Pneumococcal Pneumonia Virus (PPV) Vaccine Claims and Acceptance of Current Procedural Terminology (CPT) Code 90660 For The Reporting of The Influenza Virus Vaccine

Currently, providers are required to report diagnosis codes V03.82 for Pneumococcal Pneumonia Virus (PPV) and its administration and diagnosis code V04.81 for Influenza Virus vaccine and its administration. This instruction allows the reporting of diagnosis code V06.6 in place of V03.82 and V04.81 when reporting PPV and/or Influenza Virus vaccines when the purpose of the visit was to receive both vaccines. In addition, this instruction requires contractors to accept claims containing current procedural terminology (CPT) code 90660 for the Influenza Virus vaccine.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 28, 2006

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.