Rate Update for Seasonal Flu Codes, CR 113145

Nov 10, 2022

The Seasonal Flu codes have been updated effective August 1, 2022. See the table below for the new rates.  

Adjustments for affected claims:  

• If you have been billing these codes at a higher rate than is indicated in the table above, we will reprocess your claims and no provider action is needed.    
• If you have been billing these codes at a lower rate than is indicated in the table above, please adjust the affected claims. Providers will have 90 days from the date of this notice to submit corrected adjustments, with the focus on the older dates of service first.  

Please contact your Provider Relations Specialist with questions.