Title

2021-2022 Seasonal Flu Vaccine Information

Publication Date:

2021-11-04

Many Blue Cross and Blue Shield of North Carolina (Blue Cross NC) members are eligible to receive a flu shot at no cost. Providers should check members' preventive care benefits to see if they qualify and if any applicable copayments, deductibles, or coinsurance amounts apply.

Eligible Blue Cross NC commercial members (both individual and group) can receive their seasonal flu shots at the following locations:

Physicians' offices
Immunizing pharmacists
In-network pharmacies (member must have Prime as their pharmacy benefit manager)
Immunizing health departments
Minute Clinics
Employers' worksite flu shot clinics (if applicable)

For additional details about the Blue Cross NC seasonal flu program for commercial members, please see What's True About the Flu.

The following vaccines are available for the 2021-2022 flu season:

Code	Flu Vaccine Name	Route	Age Indication
90662	Fluzone High-Dose Quadrivalent	Intramuscular	Ages 65yrs+
90672	FluMist Quadrivalent	Intranasal	Ages 2 through 49 years
90674	Flucelvax Quadrivalent (Pres Free)	Intramuscular	Ages 2yrs+
90682	Flublok Quadrivalent	Intramuscular	Ages 18yrs+
90685	Fluzone Quadrivalent 0.25ml (Pres Free) Afluria Quadrivalent 0.25ml (Pres Free)	Intramuscular	Ages 6-35M
90686	Fluarix Quadrivalent (Pres free) Flulaval Quadrivalent (Pres Free) Fluzone Quadrivalent (Pres Free) Afluria Quadrivalent (Pres Free)	Intramuscular	Ages 6M+
90687	Fluzone Quadrivalent 0.25ml Afluria Quadrivalent 0.25ml	Intramuscular	Ages 6-35M
90688	Fluzone Quadrivalent Afluria Quadrivalent	Intramuscular	Ages 6M+
90694	Fluad Quadrivalent	Intramuscular	Ages 65yrs+
90756	Flucelvax Quadrivalent	Intramuscular	Ages 2yrs+

Administrative Codes for Flu Vaccine

Patients	CPT Codes
Any age patient with counseling	90460-90461
Any age patient when no counseling is involved	90471-90474
Patients who also have Medicare coverage	G0008 (Medicare requires this code for influenza)

For more information, visit https://www.cdc.gov/flu/professionals/index.htm

All flu vaccines available in 2021-2022 will be quadrivalent. They include four different flu viruses, including two influenza A viruses and two influenza B viruses.

For Blue Medicare Members

Blue Medicare^SM HMO and Blue Medicare^SM PPO members are eligible to receive flu shots without a copayment if they go to in-network doctors for their flu shots. However, if a patient sees the doctor for other services, an office visit copayment may be charged. Blue Medicare patients can also receive their annual flu shots at any in-network immunizing pharmacist.

For Federal Employee Program (FEP) Members

There are many places FEP members can go at their convenience to get a flu shot, including their local pharmacy. Per the Blue Cross and Blue Shield Service Benefit Plan, FEP members can receive a flu shot with no out-of-pocket cost at a Preferred provider or at any of our Preferred retail pharmacies in our FEP network. Members should check with their pharmacy or call 1-800-624-5060 to find out which vaccines their local pharmacy can provide. Visit the FEP website for more information.

Additional Resources

Title

2021-2022 Seasonal Flu Vaccine Information

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