Which ICD-9-CM code is best used for flu injection and also Kenalog injections that are done in the office?
ICD-9-CM code for the flu vaccine is V04.81. Influenza virus vaccine codes pending FDA approval in CPT are 90661, 90662 and 90663 for 2008. For triamcinolone acetonide, report the underlying reason for the injection (eg, 477.0 Allergic rhinitis due to pollen). Triamcinolone acetonide shots may be used by some for exacerbations of asthma, 493.21 or 493.01, or for exacerbations of COPD, 491.21. Episodes of acute bronchitis affecting COPD or asthma patients could lead to a triamcinolone acetonide injection, and those diagnosis codes would be 491.22 for COPD and 493.22 or 493.02 for asthma. Use 90772 for triamcinolone acetonide injections with J3301.