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Administration of Herpes Zoster Vaccine

  1. #1
    Location
    Cadillac Michigan
    Posts
    48
    Talking Administration of Herpes Zoster Vaccine
    Medical Coding Books
    Hello,

    Our physician is administering the herpes zoster vaccine. Is this billable to Medicare for services in 2008? The administration code G0377 for 2007 no longer exists. Can we bill 90471 to Medicare or do we bill the patient and they bill their part D plan?? Is this information available anywhere?

    Could really use some help.
    Thanks
    Roxanne

  2. #2
    Default
    Quote Originally Posted by RDUFORT View Post
    Hello,

    Our physician is administering the herpes zoster vaccine. Is this billable to Medicare for services in 2008? The administration code G0377 for 2007 no longer exists. Can we bill 90471 to Medicare or do we bill the patient and they bill their part D plan?? Is this information available anywhere?

    Could really use some help.
    Thanks
    Roxanne
    You can bill it to medicare but they don't cover it, you'd need to have the pt sign an medicare waiver and let them know in advance that it is not a covered service. There are some Medigap plans that do cover it, I for a fact that Tricare covers it and I've seen Federal Blue Shield pay for it too.

    I am not sure about the part d, I've talked to our Merck rep about it and she said it would be covered under the part D but you know how info from the rep's pushing the stuff are.

    We even talked to one of the pharmacies about it, but they don't recommend us giving the pt a script for it because the vaccine must be kept at a certain temperature. The pharmacy we called is not even 5 minutes away from our office and they don't trust that it would be safe that way.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

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