On October 1, 2022, the two temporary fee codes for adult respiratory immunizations – influenza, pneumococcal, and pertussis during pregnancy – will once again be reactivated for the 2022/23 flu season, effective for dates of service on or after October 1, 2022, with an end date of April 30, 2023.
Details of each fee can be found below:
T10040 Respiratory immunization for patients 19 years of age or older (with visit)..........$5.45
Notes:
i) Payable for Influenza (using ICD-9 code V048) and Pneumococcal (using ICD-9 code V05) and Pertussis during pregnancy (using ICD-9 code V036) immunizations.
ii) Payable in full with an office visit.
iii) If the primary purpose of the service is for immunization, bill fee item 10041 using ICD-9 code V048 for influenza, and/or V05 for pneumococcal and/or V036 for Pertussis during pregnancy.
TB10041 Respiratory immunization for patients 19 years of age or older (without visit)……….$14.00
Notes:
i) Payable for Influenza (using ICD-9 code V048) and Pneumococcal (using ICD-9 code V05) and Pertussis during pregnancy (using ICD-9 code V036) immunizations when the primary purpose of the service is for immunization.
ii) Not payable with an office visit.
Questions? Please contact economics@doctorsofbc.ca.
