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Thread: ZOSTAVAX (shingles vaccine)

  1. #1
    Join Date
    Apr 2007
    Wheeling WV

    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


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

  3. #3


    Medicare Part D is covering the Zostavax vaccine.

    ICD-9 - V05.8

  4. #4
    Join Date
    Apr 2007
    Wheeling WV


    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.


    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 06:09 AM.

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