Claims with CPT code 90658, influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use, pricing incorrectly

LOB

Part A and B

Issue

CMS is aware of an issue were claims containing CPT code 90658, influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use, are pricing incorrectly. 

Reference: MLN Connects Newsletter: September 19, 2024 

Resolution

First Coast will hold claims for dates of service August 1 until October 7. Any denied claims will be reprocessed by November 1.

Status

January 15 update: All impacted claims have been reprocessed.

Closed

Provider action

Providers don't need to take any action on these claims.

Current processing issues

Here is a link to a table of current processing issues for Part A and Part B.