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Get Influenza Vaccine Administration Record Consent - Chesco

INFLUENZA VACCINE ADMINISTRATION RECORD & CONSENT Adults 19 and older Information about person to receive vaccine PLEASE PRINT: Last Name First Name DATE OF BIRTH Address Apt/Suite City / / State.

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AAP's flu vaccine recommendations for kids: All children ages 6 months and older be vaccinated annually with influenza vaccine. ... Any licensed influenza vaccine appropriate by age and health status can be used.

CPT® 90674, Under Vaccines, Toxoids. The Current Procedural Terminology (CPT®) code 90674 as maintained by American Medical Association, is a medical procedural code under the range - Vaccines, Toxoids.

Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.

HCPCS code G0008 must be used when billing Medicare for the administration of influenza vaccines, regardless of patient age or provider counseling.

For vaccines given the same day as a G-Code vaccine, use 90471. For example, if a patient receives a flu shot and tetanus shot, you would bill G0008 for the flu vaccine and 90471 for the tetanus vaccine; also add modifier 59 (distinct procedural service) to the G code.

HCPCS code G0008 for Administration of influenza virus vaccine as maintained by CMS falls under Vaccine Administration .

90686 Influenza virus vaccine, quadrivalent, split virus, preservative free, 0.5 ml dosage, for intramuscular use 90696 Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 years through 6 years of age, for intramuscular use.

Use separate administration codes for the seasonal influenza virus (G0008) and pneumococcal (G0009) vaccines.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232