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Thread: ZOSTAVAX (shingles vaccine)

  1. #1
    Join Date
    Apr 2007
    Location
    Wheeling WV
    Posts
    19

    Question ZOSTAVAX (shingles vaccine)

    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!!

  2. #2
    Join Date
    Apr 2007
    Location
    Savannah
    Posts
    2

    Default

    Medicare will not reimburse for Zostaxax. Get a waiver signed and collect the money

  3. #3

    Default

    Medicare Part D is covering the Zostavax vaccine.

    ICD-9 - V05.8

  4. #4
    Join Date
    Apr 2007
    Location
    Wheeling WV
    Posts
    19

    Default

    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: http://www.cms.hhs.gov/MLNMattersArt...ads/MM5486.pdf
    http://www.cms.hhs.gov/MLNMattersArt...ads/MM5459.pdf

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

    Happy Thanksgiving!!!
    Last edited by SScoder; 11-21-2007 at 07:09 AM.

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