Flu Shot

Payment Rates

Get payment rates for the 2020-2021 flu season.

 

Frequency & Coverage

  • Medicare Part B covers one flu shot per flu season
  • Medicare covers additional flu shots if medically necessary
  • A patient could get the seasonal flu shot twice in a calendar year for two different flu seasons, and Medicare would pay for each shot

People with Medicare pay nothing for a flu shot if the doctor or other qualified health provider accepts assignment for giving the shot:

  • Copayment/coinsurance waived
  • Deductible waived

 

Coding

Find the right HCPCS, CPT, and ICD-10 codes for the flu shot.

 

Institutional Providers: Additional Information

Get more information on facility and bill types.

 

Roster Billing for Mass Immunizers

Get coverage requirements, elements & centralized billing information if you’re a mass immunizer and offer flu and pneumococcal shots to many people.

 

Additional Resources

Page Last Modified:
02/24/2021 12:01 PM