tci Medicare Compliance & Reimbursement - 2007 Issue 34

PHARMACIES: Don't Waste Your Time Billing Part D Vaccines

Say goodbye to G0377--and hello to collecting from patientsHeads up: You won't be able to bill Medicare Part B for administering the herpes zoster (shingles) vaccine and other vaccines next year. Medicare plans to delete vaccine administration code G0377 on Jan. 1, according to MLN Matters articles SE0723 and SE0727. This year, you can use that code to bill for administering vaccines that Medicare Part D pays for. But starting next year, you'll have to bill the patient directly for both the vaccine and its administration, "and the patient will need to submit the claim to their Part D...

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