Q2035 Afluria vacc, 3 yrs & >, im
What Q2035 is
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)
HCPCS Level II long description, CMS October 2026 file. See the Q codes page for the full section.
Medicare payment for Q2035 (CY2026)
This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps Q2035 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with Q2035? These codes are bundled into it
Q2035 is a Column 1 code in 23 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
90655 | Iiv3 vacc no prsv 0.25 ml im | 0 - no modifier bypass | Check pair |
90656 | Iiv3 vacc no prsv 0.5 ml im | 0 - no modifier bypass | Check pair |
90657 | Iiv3 vaccine splt 0.25 ml im | 0 - no modifier bypass | Check pair |
90658 | Iiv3 vaccine splt 0.5 ml im | 0 - no modifier bypass | Check pair |
90660 | Laiv3 vaccine intranasal | 0 - no modifier bypass | Check pair |
90661 | Cciiv3 vac abx fr 0.5 ml im | 0 - no modifier bypass | Check pair |
90662 | Iiv no prsv increased ag im | 0 - no modifier bypass | Check pair |
90664 | Laiv vacc pandemic intranasl | 1 - modifier may bypass | Check pair |
90666 | Flu vac pandem prsrv free im | 1 - modifier may bypass | Check pair |
90667 | Iiv vacc pandemic adjuvt im | 1 - modifier may bypass | Check pair |
90668 | Iiv vaccine pandemic im | 1 - modifier may bypass | Check pair |
90673 | Riv3 vaccine no preserv im | 0 - no modifier bypass | Check pair |
90685 | Iiv4 vacc no prsv 0.25 ml im | 0 - no modifier bypass | Check pair |
90686 | Iiv4 vacc no prsv 0.5 ml im | 0 - no modifier bypass | Check pair |
90687 | Iiv4 vaccine splt 0.25 ml im | 0 - no modifier bypass | Check pair |
90688 | Iiv4 vaccine splt 0.5 ml im | 0 - no modifier bypass | Check pair |
90689 | Vacc iiv4 no prsrv 0.25ml im | 0 - no modifier bypass | Check pair |
90694 | Vacc aiiv4 no prsrv 0.5ml im | 0 - no modifier bypass | Check pair |
Q2034 | Agriflu vaccine | 0 - no modifier bypass | Check pair |
Q2036 | Flulaval vacc, 3 yrs & >, im | 0 - no modifier bypass | Check pair |
Q2037 | Fluvirin vacc, 3 yrs & >, im | 0 - no modifier bypass | Check pair |
Q2038 | Fluzone vacc, 3 yrs & >, im | 0 - no modifier bypass | Check pair |
Q2039 | Influenza virus vaccine, nos | 0 - no modifier bypass | Check pair |
Q2035 is bundled into these codes
Q2035 appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, Q2035 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
90653 | Iiv adjuvant vaccine im | 0 | Check pair |
90672 | Laiv4 vaccine intranasal | 0 | Check pair |
90674 | Cciiv4 vac no prsv 0.5 ml im | 0 | Check pair |
90682 | Riv4 vacc recombinant dna im | 0 | Check pair |
90756 | Cciiv4 vacc abx free im | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.