Question 1

What is HCPCS code Q2035?

Accepted Answer

HCPCS code Q2035 is "Afluria vacc, 3 yrs & >, im". Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)

Question 2

What category is Q2035 in?

Accepted Answer

Q2035 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q2035?

Accepted Answer

Use Q2035 when billing for afluria vacc, 3 yrs & >, im. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

What ICD-10 codes are commonly used with Q2035?

Accepted Answer

Common ICD-10 diagnosis codes used with Q2035 include: Z20.3 (Contact with and (suspected) exposure to rabies), Z23 (Encounter for immunization). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is Q2035 covered by Medicare?

Accepted Answer

Coverage for Q2035 (Afluria vacc, 3 yrs & >, im) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 6

What documentation is required for Q2035?

Accepted Answer

Documentation for Q2035 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).