Tuesday, September 20, 2011

Pneumococcal Vaccine & Hepatitis B (HBV) Vaccine CPT code

Pneumococcal Vaccine

CPT code 90669 – Pneumococcal Conjugate Vaccine
CPT code 90670 – Pneumococcal Conjugate Vaccine, 13 valent, for intramuscular use
CPT code 90732 – Pneumococcal Polysaccharide Vaccine
G0009 – Administration

Report one of the following codes: V03.82

V06.6 – When purpose of visit was to receive both pneumococcal and seasonal influenza virus vaccines

All Medicare beneficiaries

Once in a lifetime

Medicare may provide additional vaccinations based on risk and provided that at least 5 years have passed since receipt of a previous dose

Copayment/coinsurance waived
Deductible waived

Hepatitis B (HBV) Vaccine
90740, 90743, 90744, 90746, 90747 – Hepatitis B Vaccine
G0010 – Administration

Covered DX - V05.3

Certain Medicare beneficiaries at intermediate or high risk

Medicare beneficiaries that are currently positive for antibodies for hepatitis B are not eligible for this benefit.
Scheduled dosages required

Prior to 01/01/11:
Copayment/coinsurance applies
Deductible applies

On or after 01/01/11:
Copayment/coinsurance waived
Deductible waived

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