Influenza Vaccine: Holding Claims for CPT Code 90658

From the Medicare Learning Network Newsletter:  

CMS (the Center for Medicare and Medicaid Services) is aware of an issue affecting payment for CPT code 90658:

• Long descriptor: Influenza virus vaccine, trivalent (IIV3), split virus, 0.5mL dosage, for intramuscular use
  
  
• Short descriptor: IIV3 VACCINE SPLT 0.5ML IM

CMS is holding claims for CPT code 90658 for dates of service on or after August 1, 2024, until October 7, 2024.

Your Medicare Administrative Contractor will reprocess any denied claims by November 1, 2024. 

You don't need to take any action.