Reimbursement
$34.62
Threshold
N/A
2026 Status
Active
What is CPT Code G0008?
CPT G0008 is defined as: Administration of influenza virus vaccine. This HCPCS code is used specifically for Medicare beneficiaries to report the administration of the flu vaccine.
This code is primarily used for Preventive services. It falls under the category of Vaccine Administration and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.
2026 RVU Components
Relative Value Units (Non-Facility)
Work RVU
0
Physician Effort
PE (Non-Fac)
0
Practice Expense
Malpractice
0
Risk Factor
Total RVU
0
Note: Finalized CMS rate
2026 CMS Policy Intelligence
valuation stability
Rate maintained at $34.62 to ensure broad access during respiratory virus season.
home add on m0201
Medicare pays an additional ~$40.98 if administered in the patient's home, incentivizing mobile and homebound care.
ncci efficiency
Correction of the COVID/Flu co-administration edit reduces administrative friction for dual-vaccination encounters.
Administrative Framework
Place of Service
NCCI Exclusions
Key Modifiers
Required Primary Codes
Must be billed alongside a primary service.
Operational Requirements
minimum time
Procedure-based
staff type
Clinical staff
frequency
Typically once per season, unless second dose is medically necessary (e.g., pediatric).
add on codes
M0201
roster billing
Eligible for roster billing, allowing mass immunizers to submit a single claim with a list of beneficiaries.
Compliance Checklist
Audit Defense
No specific audit defense elements defined.
Common Clinical Scenarios
CMS Eligibility: Prevention of seasonal influenza.. Annual requirement.
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Billing Differentiation
VS 90471
G0008 is for Flu admin for Medicare; 90471 is for other vaccines or some private payers.
VS 90480
90480 is for COVID-19 vaccine administration.
Frequently Asked Questions
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