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2021-2022 Seasonal Flu Vaccine Information November 04, 2021 Medical Policy & Clinical Guidelines Products & Programs

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 - 49yrs

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 the Center for Disease Control and Prevention

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 HMO and Blue Medicare 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 800-624-5060 to find out which vaccines their local pharmacy can provide. Visit the FEP website for more information.