Reporting services related to the provision of vaccines and their administration can vary by the patient's age, whether or not counseling is provided at the time of the administration, and the patient's health benefits.
It is important to be aware of changes related to new vaccine products and administration service codes. The links below are intended to provide an overview of the related codes and instructions for their use as well as some information to assist you with the overall management of vaccine services in your practice.
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Coding for Vaccines and Administration
Administration Coding Changes 2011
-- Updated coding information for immunization administration services for the pediatric population on and after January 1, 2011.
Tips for Reporting Vaccinations
-- Includes tips on ICD-9 diagnosis coding and National Drug Codes that may be reported in conjunction with vaccine administration services.
Medicare Part B Vaccine Coverage
-- Information on vaccine and vaccine administration service coverage under Medicare Part B.
Medicare Part D Vaccine Coverage
-- Information on vaccine and vaccine administration service coverage under Medicare Part D.
Coding Resources and Assistance
CMS Non-Covered Services
Beneficiary Notice 2011- English (*PDF file)
Beneficiary Notice 2011- Spanish (*PDF file)
Code Lists
ICD-10-CM Files from National Center for Health Statistics
Diagnosis Coding
Coding for Vaccines and Administration
(*PDF file. About PDFs)
