AAPC - Back to school
Results 1 to 6 of 6

Thread: Medicare vaccines G0008 and 90471

  1. #1
    Join Date
    Apr 2007

    Default Medicare vaccines G0008 and 90471

    AAPC: Back to School
    Medicare patient has flu shot....G0008 used for the administration (along with the Q code) Now if this patient also receives a Tdap would we use 90471 or 90472 as the "second" immunization administration code? We have been using 90471.

  2. #2
    Join Date
    Apr 2007
    Jacksonville Florida Chapter


    I would think you'd be forced to use 90471 since you have to use it in order to also use the add on code of 90472.
    John Meyer, CPC-A
    Heekin Orthopedic Specialists

  3. #3
    Join Date
    Apr 2007
    Covington, LA


    You would have to use 90471 because G0008 is not a primary code for 90472. Also remember, Medicare doesn't pay for vaccinations outside of the flu, pneomoccocal and HepB. They will pay for tetanus if there is a medical reason for it, but not just a preventative vaccination. Therefore, there really isn't any information out there on billing G0008 and 90471 together. I have looked.

  4. #4

    Default G0008

    You would use G0008 (for administration) and a Q code (vaccine and description)- like Q2033, Q2034, Q2036, Q2037, Q2038, Q2039 in place of your 90471

  5. #5
    Join Date
    Apr 2007
    Roanoke, Virginia


    I've seen G0008 and 90471 with a 59 modifier billed successfully with a flu and Td vaccine, not a flu and Tdap. I don't think Medicare pays for a Tdap in any scenario....


  6. #6
    Join Date
    Apr 2007
    Fort Wayne


    There is an NCCI edit for G0008, G0009 & G0010 when billed with 90471. The G codes are the column 2 codes.

Similar Threads

  1. G0008 Coding Difficulty - Medicare
    By mariannegonzalez01 in forum Billing/Reimbursement
    Replies: 7
    Last Post: 12-19-2013, 07:53 AM
  2. 90471 vs G0008
    By susie09 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-13-2013, 10:18 AM
  3. G0008 & G0009 Modifier with 90471??
    By Orthocoderpgu in forum Modifiers
    Replies: 1
    Last Post: 05-17-2011, 09:46 AM
  4. G0008/g0009/90471/90472- 59
    By mizzmaryb in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-05-2011, 05:22 PM
  5. 2010-2011- G0008- Medicare reimbursement
    By spbutler in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-07-2010, 12:55 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.