Shingle vaccination

[giliwjoy]

My doctor will give shingle vaccination but I just want to know if medicare will pay for it and what code should I use. Please advise. Need Help.

[gail]

I believe that Medicare Part B does NOT cover the Zostavax; however, it is covered under Medicare Part D, so if patients have a doctor's order, they can have their pharmacist give them the shot and get it reimbursed through the pharmacy under Part D, if they have a Part D plan.

[nc_coder]

That is exactly right, Gail. Medicare part B will not pay for that vaccine, but it is covered under part D.

[melissalynnfalkowski]

it is code 90736, but it is almost impossible to get from pharmacy as it is a frozen vaccine. It is not covered under part b

[trish43]

I work for a pharmacist and they give the shingles vaccine all the time. The vaccine is billed under Part D Plan.

[gnp001]

Hi there,
I'm new to family practice and want to get this right. Can anyone send me in the right direction for the dx for this vaccine. thanks

[dballard2004]

I recommend V05.8.

[marcia butler]

How do you bill Blue Care Network for the Shingles Vaccine for a 68 yr old still working patient that has full coverage under BCN and doesnt have Medicare.