ZOSTAVAX (shingles vaccine)

SScoder

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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!!
 

SScoder

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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: www.cms.hhs.gov/MLNMattersArticles/downloads/MM5486.pdf
www.cms.hhs.gov/MLNMattersArticles/downloads/MM5459.pdf

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

Happy Thanksgiving!!!
 
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