Home › Drug Codes › Q Codes › Q2038 · Influenza Virus Vaccine
Updated October 1st, 2026

Influenza Virus Vaccine Q Code: Q2038

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)

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Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
No current ASP
Not available for Q4 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
6
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Drug & Product Overview

HCPCS Descriptor Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
HCPCS Added Date January 1, 2011
Manufacturer Sanofi
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Multi-Dose
Dosage Form Injection, Suspension

About Influenza Virus Vaccine

Influenza Virus Vaccine is a medication aligned to the HCPCS Q Code: Q2038 for billing, pricing, and reimbursement purposes in the United States. Classified under Vaccine, it is administered via the intramuscular route and manufactured by Sanofi.

Manufacturers, reach out to us to add more information.

NDC Code Information

6 NDC packages are crosswalked to Q2038. Package detail is available to logged-in subscribers.

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Influenza Virus Vaccine CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472 Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.
Not on the CMS JW / JZ list

CMS does not include Influenza Virus Vaccine (Q2038) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q2038. Wastage billing guide →

Influenza Virus Vaccine Medically Unlikely Edits (MUE)

The most billing units of Q2038 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per therapeutic dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

Influenza Virus Vaccine Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Influenza

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Frequently Asked Questions

Is there an available Influenza Virus Vaccine billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Influenza Virus Vaccine.
Are there any available Influenza Virus Vaccine patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for Influenza Virus Vaccine.
Where can I find Influenza Virus Vaccine prescribing information?
Influenza Virus Vaccine prescribing information can be found at the link below. Please reach out to us if you believe this information to be inaccurate or out of date. Visit Here →
Where can I find Influenza Virus Vaccine side effect information?
Our team has not yet identified a source of side effects information for Influenza Virus Vaccine. Please check back in a few weeks.
Does billing Influenza Virus Vaccine require JZ/JW wastage modifiers?
CMS does not include Influenza Virus Vaccine (Q2038) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q2038. For more information, visit the link below.

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