CODING & BILLING FOR THE 2025/2026 SEASON


CPT® CODES FOR FLU VACCINES AND FLU VACCINE REIMBURSEMENT INFORMATION

Coding-Reimbursement-FLUBLOKsmall
FLUBLOK®
(SINGLE-DOSE PRESENTATION)1,2
Presentation
and Dosea
10 single-dose
0.5-mL prefilled
syringes
Vaccine CPTb Code90673
When the Payer Requires the Outer Carton NDCc49281-725-10
When the Payer Requires the Unit-of-Use NDC49281-725-88
CVXd Code155

90673 - Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use.

Fluzone High-Dose Influenza Vaccine Logo
FLUZONE® HIGH-DOSE
(SINGLE-DOSE PRESENTATION)2,3
Presentation
and Doseᵃ
10 single-dose
0.5 mL prefilled
syringes
Vaccine CPTᵇ Code90662
When the Payer Requires the Outer Carton NDC49281-125-65
When the Payer Requires the Unit-of-Use NDC49281-125-88
CVXᵈ Code135

90662 - Influenza virus vaccine (HD-IIV3), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use.

Fluzone Influenza Vaccine Logo
FLUZONE
(SINGLE-DOSE PRESENTATION)2,4
Presentation
and Doseᵃ
10 single-dose 0.5-mL prefilled syringes
Vaccine CPTᵇ Code90656
When the Payer Requires the Outer Carton NDC49281-425-50
When the Payer Requires the Unit-of-Use NDC49281-425-88
CVXᵈ Code140

90656 - Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5-mL dosage, for intramuscular use.

FLUZONE
(MULTI-DOSE PRESENTATION)2,4
Presentation
and Doseᵃ
0.25-mL dose taken from 5-mL multi-dose vial
0.5-mL dose taken from 5-mL multi-dose vial
Vaccine CPTᵇ Code90657 (0.25-mL dose)
90658 (0.5-mL dose)
When the Payer Requires the Outer Carton NDC49281-643-15
When the Payer Requires the Unit-of-Use NDC49281-643-78
CVXᵈ Code141

90657 - Influenza virus vaccine, trivalent (IIV3), split virus, 0.25-mL dosage, for intramuscular use.

90658 - Influenza virus vaccine, trivalent (IIV3), split virus, 0.5-mL dosage, for intramuscular use.

Source: 2024 CPT.
aA maximum of 10 doses can be withdrawn from the multi-dose vial.
bCPT (Current Procedural Terminology) is a registered trademark of the American Medical Association.
cNDC=National Drug Code.
dCode that indicates products used in vaccination.
Notice: This coding information is provided for informational purposes only and does not constitute legal or reimbursement advice. It is not intended to substitute for the physician’s independent diagnosis or treatment of each patient. The information contained herein is gathered from various resources and is subject to change. Providers are solely responsible for the accuracy of all coding and claims submitted for reimbursement to any third-party payer.

Important Safety Information

Do not administer Fluzone, Flublok, or Fluzone High-Dose to anyone with a history of a severe allergic reaction (e.g., anaphylaxis) to any component of the vaccine (including egg protein for Fluzone and Fluzone High-Dose). Fluzone and Fluzone High-Dose should not be administered to anyone who has had a severe allergic reaction after previous dose of any influenza vaccine.

Appropriate medical treatment must be immediately available to manage potential anaphylactic reactions following administration of the vaccine.

If Guillain-Barré syndrome has occurred within 6 weeks following previous influenza vaccination, the decision to give Fluzone, Flublok, or Fluzone High-Dose should be based on careful consideration of the potential benefits and risks.

If Fluzone, Flublok, or Fluzone High-Dose are administered to immunocompromised persons, including those receiving immunosuppressive therapy, the expected immune response may not be attained.

Vaccination with Fluzone, Flublok, or Fluzone High-Dose may not protect all recipients.

Syncope (fainting) has been reported following vaccination with Fluzone, Flublok and Fluzone High-Dose. Procedures should be in place to avoid injury from fainting.

For Fluzone, in children 6 months through 8 years of age, the most common injection-site adverse reactions were pain or tenderness and redness; the most common solicited systemic adverse reactions were irritability, drowsiness (6 months through 35 months), and myalgia (3 years through 8 years). In adults 18 through 64 years of age, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were headache and myalgia. In adults over 65 years of age, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were headache, myalgia, and malaise.

For Flublok, in children 9 through 17 years of age who received Flublok Quadrivalent, the most common solicited injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were myalgia, headache, and malaise. In adults 18 through 64 years of age who received Flublok, the most common injection site adverse reaction was pain; the most common solicited systemic adverse reactions were headache, fatigue, and myalgia. In adults 65 years of age and older who received Flublok, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were fatigue and headache.

For Fluzone High-Dose, in adults 65 years of age and older, the most common injection-site reaction was pain; the most common solicited systemic adverse reactions were myalgia, malaise, and headache.

For Fluzone, Flublok, and Fluzone High-Dose, other adverse reactions may occur.

Indications

Fluzone, Flublok, and Fluzone High-Dose are vaccines indicated for active immunization for the prevention of disease caused by influenza A virus subtypes and type B virus contained in (or in the case of Flublok, represented by antigens contained in) the vaccine. Fluzone is approved for use in persons 6 months of age and older. Flublok is approved for use in persons 9 years of age and older. Fluzone High-Dose is approved for use in persons 65 years of age and older.

Important Safety Information

Indications

References: 1. Flublok. Prescribing Information. Protein Sciences Corporataion. 2. Center for Medicare & Medicaid Services. Seasonal influenza vaccine pricing. June 30, 2025. Accessed July 1, 2025. https://www.cms.gov/medicare/payment/part-b-drugs/vaccine-pricing 3. Fluzone High-Dose. Prescribing Information. Sanofi Pasteur Inc. 4. Fluzone. Prescribing Information. Sanofi Pasteur Inc.

MAT-US-2508002-v1.0-08/2025