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Shingle vaccination

  1. #1
    Default Shingle vaccination
    Medical Coding Books
    My doctor will give shingle vaccination but I just want to know if medicare will pay for it and what code should I use. Please advise. Need Help.
    Last edited by giliwjoy; 08-31-2011 at 08:36 PM.

  2. Default
    I believe that Medicare Part B does NOT cover the Zostavax; however, it is covered under Medicare Part D, so if patients have a doctor's order, they can have their pharmacist give them the shot and get it reimbursed through the pharmacy under Part D, if they have a Part D plan.

  3. Default
    That is exactly right, Gail. Medicare part B will not pay for that vaccine, but it is covered under part D.

  4. Default
    it is code 90736, but it is almost impossible to get from pharmacy as it is a frozen vaccine. It is not covered under part b

  5. Default Shingles Vaccine
    I work for a pharmacist and they give the shingles vaccine all the time. The vaccine is billed under Part D Plan.

  6. #6
    Smile dx for shingles (zoster) vaccine
    Hi there,
    I'm new to family practice and want to get this right. Can anyone send me in the right direction for the dx for this vaccine. thanks

  7. #7
    Location
    Overland Park, KS
    Posts
    1,165
    Default
    I recommend V05.8.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  8. Default Shingles Vaccine
    How do you bill Blue Care Network for the Shingles Vaccine for a 68 yr old still working patient that has full coverage under BCN and doesnt have Medicare.

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