HCPCS Code Details - Q2035

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q2035
Description

Long description:
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)

Short description:
Afluria vacc, 3 yrs & >, im

HCPCS Modifier1
HCPCS Pricing indicator 54 - Vaccinations
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code O1G - Immunizations/Vaccinations
HCPCS Action code N - No maintenance for this code
Type of service V - Pneumococcal/flu vaccine
Effective date Effective Jan 01, 2014
Date added Added Jan 01, 2011
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - Q2035

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
0.5 ml 18.236 95% 18.236 - - - -
0.5 ml 18.236 95% 18.236 - - - -
0.5 ml 18.236 95% 18.236 - - - -
0.5 ml 18.236 95% 18.236 - - - -
0.5 ml 17.685 95% 17.685 - - - -

See also

  • HCPCS Q2034 · Influenza virus vaccine, split virus, for intramuscular use (agriflu)

  • HCPCS Q2036 · Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)

  • HCPCS Q2037 · Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)

  • HCPCS Q2038 · Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)

  • HCPCS Q2039 · Influenza virus vaccine, not otherwise specified


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”