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Wiki Flu Shot by Pharmacist

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jademound

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When a flu shot is given by a pharmacist, how does that get billed? Can the administration be billed? And would it be submitted under the pharmacist or does a provider need to sign off on it? I am new to flu shots being given by a pharmacist versus given in a clinic by a nurse.
 
I have not ever done billing for a Pharmacist, but they should be able to bill for them to most payers. And, yes, for both the administration and the supply. The claim would be submitted on CMS-1500 to most payers. For Medicare, the pharmacist would have to be enrolled under Part B. I would research Roster billing with CMS: https://www.cms.gov/Outreach-and-Ed..._Immunize_Roster_Bill_factsheet_ICN907275.pdf . Maybe talk with other pharmacists.

Just my 1 cents.

Karen
 
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