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OP Vaccine Name-CVX-CPT-Brand Name Crosswalk

OP Vaccine Name-CVX-CPT-Brand Name Crosswalk

Office Practicum adapted this information from the AAP News article, How to code for influenza vaccine in the 2017-’18 season.
Please follow these guidelines when coding.

Note: Vaccines in red font indicate those added for the 2017-2018 Flu Season.

Quadrivalent

OP/VacLogic Vaccine Name
CPT code
CVX CODE
CPT Descriptor
Manufacturer
Brand
Recommended Age
FLU-IIV4 18-64yrs pf
90630
166
Influenza, quadrivalent, split virus, preservative-free, intradermal
Sanofi Pasteur
Fluzone Intradermal Quadrivalent
≥18 years
FLU-ccIIV4 4yrs+ pf
90674
186
Influenza virus accine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative- and antibiotic-free, 0.5 mL dosage, IM
Seqirus
Flucelvax Quadrivalent
≥4 years
FLU-RIV4 18-49yrs pf
90682
185
Influenza virus vaccine, quadrivalent RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative- and antibiotic-free, IM
Protein Sciences
Flublok
≥18 years
FLU-IIV4 6-35m pf
90685
161
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative-free, 0.25 mL dosage, IM
Sanofi Pasteur
Fluzone Quadrivalent
6-35 months
FLU-IIV4 18yrs+ pf
FLU-IIV4 3yrs+ pf
FLU-IIV4 6m+ pf
90686
150
150
150
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative-free, 0.5 mL dosage, IM
Seqirus
Sanofi Pasteur
GlaxoSmithKline
GlaxoSmithKline
Afluria Quadrivalent
Fluzone Quadrivalent
Fluarix Quadrivalent
FluLaval Quadrivalent
≥18 years
≥36 months
≥36 months
≥6 months
FLU-IIV4 6-35m
90687
158
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, IM
Sanofi Pasteur
Fluzone Quadrivalent
6-35 months
FLU-IIV4 18yrs+
FLU-IIV4 3yrs+
FLU-IIV4 6m+
90688
158
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, IM
Seqirus
Sanofi Pasteur
GlaxoSmithKline
Afluria Quadrivalent
Fluzone Quadrivalent
FluLaval Quadrivalent
≥18 years
≥36 months
≥6 months
FLU-ccIIV4 4yrs+
90674
171
Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic-free, 0.5 mL dosage, IM
Seqirus
Flucelvax Quadrivalent
≥ 4 years

Trivalent

OP/VacLogic Vaccine Name
CPT code
CVX CODE
CPT Descriptor
Manufacturer
Brand
Recommended Age
FLU-IIV3 5yrs+ pf
FLU-IIV3 4yrs+ pf
90656
140
Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, 0.5 mL dosage, IM
Seqirus
Seqirus
Afluria
Fluvirin
≥5 years
≥4 years
FLU-IIV3 5yrs+
FLU-IIV3 4yrs+
90658
141
Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, IM
Seqirus
Seqirus
Afluria
Fluvirin
≥5 years
≥4 years
FLU-RIV3 18-49yrs pf
90673
185
Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative- and antibiotic-free, IM
Protein Sciences
Flublok
≥18 years
FLU-aIIV3 65yrs+
90653
168
Influenza virus vaccine, inactivated, subunit, adjuvanted for IM use
Seqirus
Fluad
≥65 years
FLU-IIV3 65yrs+
90662
135
FluzoneВ® High-Dose
Sanofi Pasteur
Fluzone
≥65 years