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Documenting Vaccinations

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Medicare Part B

Seasonal Influenza

  • Reimbursed once per season (2 in same calendar year is fine)
  • Vaccine codes:
    • 90630
    • 90653-90657
    • 90660-90662
    • 90672-90673
    • 90685-90688
    • Q2035-Q2039
  • Administration code: G0008
  • Diagnosis code: Z23

Pneumococcal

  • Reimbursed for initial vaccine and second (different) vaccine 1 year later
  • Reimbursed if patient unsure of vaccine hx
  • Vaccine codes:
    • 90670 for 13-valent (give first in series)
    • 90732 for 23-valent (recommended ≥1y later, minimum window is 8 weeks)
    • (If patient previously received PCV23, PCV13 is recommended ≥1y after previous PCV23, with booster PCV23 ≥5y after previous PCV23 and ≥1y after PCV13)
  • Administration code: G0009
  • Diagnosis code: Z23

Hepatitis B

  • Covered for health care providers (exposed to blood)
  • Covered for pt w ESRD, live w HepB carrier, DM
  • Vaccine codes:
    • 90739 – Hepatitis B vaccine, adult dosage (2 dose schedule), for intramuscular use
    • 90740 – Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (3 dose schedule), for intramuscular use
    • 90746 – Hepatitis B vaccine, adult dosage (3 dose schedule), for intramuscular use
    • 90747 – Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (4 dose schedule), for intramuscular use
  • Administration cose: G0010
  • Diagnosis code: Z23

Vaccines related to treatment of an injury or exposure

  • Requires a documented exposure to justify reimbursement
    • Tetanus and diphtheria toxoids (CPT 90702, 90714, 90718)
    • Tetanus toxoid (CPT 90703)
    • Hepatitis A (CPT 90632-90634)
    • Diptheria antitoxin (CPT 90296)
    • Rabies prophylaxis (CPT 90675-90676)

Medicare Part D