Flu Nasal Vaccine Update & More

baby1The Centers for Disease Control no longer recommends use of live attenuated influenza nasal vaccine (LAIV), also known as FluMist Quadrivalent.

Unity Health Insurance will NOT provide coverage for the live attenuated influenza vaccine (LAIV) nasal vaccine for commercial members. The available alternative that is covered is the inactivated influenza virus vaccine.*

It is still recommended, for everyone six months and older, to receive the annual flu vaccination with either the inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV).

View the Pediatrics Policy Statement on the nasal flu vaccine.


*The nasal vaccine is covered for BaderCare Plus members.

Coding Alert Icon Influenza Virus Vaccine – CPT 90674

The American Medical Association (AMA) CPT Editorial Panel released the new influenza virus vaccine CPT code 90674 on 7/1/2016 for implementation on January 1, 2017. This code will be included in the 2017 CPT book.

CPT defines code 90674 as “Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use."

The trade name for CPT 90674 is Flucelvax.  This vaccine received FDA approval on 5/23/2016.

Unity will cover CPT 90674 beginning on 1/1/2017.