G0919 — Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit
G0919 is a HCPCS Level II code for influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2014 and is not valid on new claims.
This code has been terminated
CMS terminated G0919 on December 31, 2014. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for G0919
- Long descriptor
- Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit
- Short descriptor
- Flu immunize not avail
- Added
- January 1, 2012
- Terminated
- December 31, 2014
- BETOS
- M5D
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G0919
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0919 is not quite right, the correct code is very often within a few positions of it.
- G0909Hemoglobin level measurement not documented, reason not giventerminated
- G0910Most recent hemoglobin level <= 12.0 g/dlterminated
- G0913Improvement in visual function achieved within 90 days following cataract surgery
- G0914Patient care survey was not completed by patient
- G0915Improvement in visual function not achieved within 90 days following cataract surgery
- G0916Satisfaction with care achieved within 90 days following cataract surgery
- G0917Patient care survey was not completed by patient
- G0918Satisfaction with care not achieved within 90 days following cataract surgery
- G0920Type, anatomic location, and activity all documentedterminated
- G0921Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)terminated
- G0922No documentation of disease type, anatomic location, and activity, reason not giventerminated
- G1000Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria programterminated
- G1001Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria programterminated
- G1002Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria programterminated
- G1003Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria programterminated
- G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria programterminated
Questions about G0919
What is HCPCS code G0919?
G0919 is a HCPCS Level II code for influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G0919?
The CMS HCPCS file marks G0919 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is G0919 still valid?
No. G0919 was terminated on December 31, 2014 and should not be used on new claims.