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Old 05-09-2007, 11:35 AM
SScoder SScoder is offline
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Question ZOSTAVAX (shingles vaccine)

ZOSTAVAX ("shingles vaccine)
Does anyone have any information regarding Medicare guidlines for billing the new vaccine? ie; CPT, ICD etc.. and is anyone billing and GETTING PAID for those by Medicare and othr carriers? Thank you!!
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Old 05-09-2007, 02:15 PM
Kenyel Kenyel is offline
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Medicare will not reimburse for Zostaxax. Get a waiver signed and collect the money
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Old 05-14-2007, 08:12 AM
lflocca1 lflocca1 is offline
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Medicare Part D is covering the Zostavax vaccine.

ICD-9 - V05.8
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Old 11-19-2007, 02:59 PM
SScoder SScoder is offline
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What I have learned since original post is that .. Dr writes RX, pt brings rx to office, we bill G0377 for administration only. Medicare D pays vaccine. This is on Medicare and Palmetto GBA websites. This will end on Jan 1, 2008. The vaccine and admin will be covered under part D only. Go377 will not be valid. Bill the patient and then the pt may bill part D.

see: http://www.cms.hhs.gov/MLNMattersArt...ads/MM5486.pdf
http://www.cms.hhs.gov/MLNMattersArt...ads/MM5459.pdf

Now let me ask.. who will be adminstering these vaccines? The pharmacy? How is everyone handling this scenerio?

Happy Thanksgiving!!!

Last edited by SScoder; 11-21-2007 at 06:09 AM.
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