Effective for dates of service on and after July 1, 2017, influenza virus code 90682 will be payable by Medicare.
- MACs will pay at discretion claims for code 90682 with dates of service July 1, 2017, through July 31, 2017.
- MACs will return to the provider (RTP) institutional claims if submitted with code 90682 for dates of service January 1, 2017, through June 30, 2017.
- MACs will deny Part B claims submitted with code 90682 for dates of service January 1, 2017, through June 30, 2017 as CO181 N56
- Claim Adjustment Reason Code: 181 – “Procedure code was invalid on the date of service”