CPT 90658: Influenza Vaccine, Age 3+, IM
Influenza virus vaccine, trivalent or quadrivalent, split virus, preservative free, when administered to individuals 3 years of age and older, for intramuscular use.
Why CPT 90658 Claims Get Denied
Claims billed under CPT 90658 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.
Duplicate vaccination within the flu season
Wrong vaccine code for patient age
Administered outside the covered flu season
Missing administration code (90471)
Billing Tips for CPT 90658
Bill the vaccine product code plus the administration code (90471 for adults, 90460 for children with counseling). Under the ACA, flu vaccines are covered without cost sharing as a preventive service. Verify the correct vaccine code for the specific product administered. Medicare covers under Part B.
Documentation Requirements
To support a clean claim for CPT 90658, your clinical documentation should include:
Vaccine product name, manufacturer, lot number
Expiration date
Route and site of administration
VIS provided to patient
Administration date
Reduce CPT 90658 Denials by 60%
RediClaim's pre-submission scrubber catches documentation gaps and coding errors before you submit, while the appeal generator handles denials that slip through.