Appending a Modifier to a drug administration code

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Is it necessary to append a modifier to a drug vaccination administration code (G0009)? I am learning and preparing for my exam and this is something that I came across in a claim denial. Please shed some light on this for me. Thank you.
 
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I assume this is for Medicare? What other codes are being billed? Are you asking strictly about the pneumococcal vaccine?
 
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