The following resources provide information and tools to help physicians be prepared for the novel H1N1 virus:
NEW IDPH: Health Departments, Physicians, may Partner to Provide H1N1 Vaccines for Uninsured/Underinsured
Expansion of H1N1 Vaccine Eligibility from IDPH
H1N1 Vaccine Distribution Info from IDPH
WHO issues revised guidance for Clinical Management of Human Infection with
2009 H1N1 Influenza
Explanation for H1N1 Vaccine Delivery Process for Illinois
IDPH offers guidance to clinicians on influenza activity and planning, and for patients on when to seek medical care for possible influenza.
Billing and Coding guidance for H1N1 vaccine
CPT Coders for 2009 H1N1 Influenza Immunizations:
- 90470 – H1N1 Immunization administration (intramuscular, intranasal)
including counseling when performed
- 90663 – Influenza virus vaccine, pandemic formulation, H1N1
When billing commercial payers for administration of 2009 H1N1 influenza type A monovalent vaccine, providers should bill CPT code 90663 in conjunction with the immunization administration code 90470. The 90663 code for the 2009 H1N1 vaccine itself should be billed for zero dollars or $0.01, since the vaccine is provided free of charge by the federal government. Providers will be paid for 2009 H1N1 vaccine administration.
Billing Medicare or Medicaid programs
When billing Medicare or Medicaid programs, use HCPCS code G9141, Influenza A (H1N1) immunization administration for the administration of the vaccine using diagnosis code V04.81 (influenza). Institutional providers, depending on the provider type, should also use revenue code 771. Since the H1N1 vaccine will be made available at no cost to providers, providers will not be reimbursed for the vaccine. Therefore, providers do not need to place the G9142 (H1N1 vaccine code) on the claim.
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0920.pdf
http://www.hfs.illinois.gov/assets/100109n.pdf
CDC offers guidance on infection control measures in health cares settings
including protection of health care personnel
http://www.cdc.gov/h1n1flu/guidelines_infection_control.htm
Guidance for who should get the H1N1 vaccine
The Center for Disease Control Advisory Committee on Immunization Practices (ACIP) has developed recommendations for who should receive the novel H1N1 vaccination when it becomes available.
http://www.cdc.gov/h1n1flu/vaccination/acip.htm
The ACIP has also made recommendations on prioritization of the vaccine for when it first becomes available.
http://www.cdc.gov/media/pressrel/2009/r090729b.htm
CDC publishes ACIP recommendations for use of influenza a (H1N1) 2009 monovalent vaccine
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr58e0821a1.htm
Antiviral Treatment
Interim Guidance on Antiviral Recommendations for patients with Novel Influenza A (H1N1) Virus Infection and Their Close Contacts
http://www.cdc.gov/h1n1flu/recommendations.htm
Sept. 17 - Updated guidance from the Chicago Department of Public Health on the use of antiviral medications in the treatment and prevention of Influenza
Instructions for Respiratory Virus Specimen Submission
http://www.idph.state.il.us/about/laboratories/Resp_Virus_Specimen_Sub.pdf
Communicable Disease Laboratory Test Requisition Form
http://www.idph.state.il.us/about/laboratories/CDform082002a.pdf
Other Resources on H1N1
Resources from the Centers for Disease Control and Prevention
http://www.cdc.gov/H1N1FLU/
Resources from the American Medical Association
http://www.ama-assn.org/ama/pub/physician-resources/medical-science/infectious-diseases/topics-interest/novel-influenza-a-h1n1.shtml
Resources from Illinois Department of Public Health
http://www.idph.state.il.us/swine_flu/