Temporary fee code for influenza immunizations reactivated for 2021/2022 flu season

On October 1, 2021, the temporary fee codes introduced last year for adult influenza and pneumococcal immunizations were reactivated for the 2021/22 flu season. The reactivation was made in order to address the increased costs of providing immunizations during COVID-19.

In addition, pertussis immunization in pregnancy has been added to the list of immunizations for which these fee codes can be billed. This has been a publicly funded vaccination in BC since November 2020.

Both the temporary respiratory immunization fee codes are effective for dates of service on or after October 1, 2021, with an end date of April 30, 2022.

Details of the fee can be found below:

T10040 Respiratory immunization for patients 19 years of age or older (with visit) .........$5.43

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.