MedicaidBilling CodesMedium impact
Billing of Influenza Products pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
We identified it
Jun 20, 2026
Summary
DXC Technology is reminding Connecticut Medicaid providers to ensure correct HCPCS code mapping for influenza vaccines due to increased claim denials. The 11-digit NDC must correspond to the correct vaccine code or claims will be denied.
Action Required
Immediately: Billing team must verify that influenza vaccine NDC codes are correctly cross-walked to appropriate HCPCS codes before submitting claims to Connecticut Medicaid. Use the provided resources to validate NDC-to-HCPCS mappings, especially for AFLURIA QUAD (33332-0418-10), FLUZONE HIGH-DOSE (49281-0403-65), and FLUARIX QUAD (58160-0898-52). Claims with mismatched NDC and HCPCS codes will be denied.