CMS releases H1N1 vaccine and administration codes

In anticipation of the vaccine for H1N1 influenza, the Centers for Medicare & Medicaid Services (CMS) has created two new codes for medical providers. G9142 (Influenza A [H1N1] vaccine, any route of administration) describes the vaccine, while G9141 (Influenza A [H1N1] immunization administration, including physician counseling the patient/family) describes the administration of the vaccine. Both codes become effective on Oct. 1.

CMS anticipates the H1N1 vaccine will be supplied to providers at no cost, although Medicare will pay for its administration. From the CMS adult immunizations Website, “Medicare will cover immunizations for H1N1 influenza, also called the "swine flu." There will be no coinsurance or copayment applied to this benefit, and beneficiaries will not have to meet their deductible. H1N1 influenza vaccine is currently under production and will be available in the Fall of 2009.”

Read details in the CMS MLN education article MM6617.

Read the 2008-2009 Immunizers’ Question & Answer Guide to Medicare Coverage of Influenza and Pneumococcal Vaccinations.

Review the Centers for Disease Control & Prevention Novel H1N1 Influenza: Resources for Clinicians Web page.