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Medicare vaccines G0008 and 90471

  1. #1
    Default Medicare vaccines G0008 and 90471
    Medical Coding Books
    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
    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
    Heekin Clinic

  3. #3
    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. 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
    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
    There is an NCCI edit for G0008, G0009 & G0010 when billed with 90471. The G codes are the column 2 codes.

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