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.
This was successfully posted to your pofile.
This box will close automatically in a few seconds. Close this window
We don't have an e-mail address on file for you. To use AAFP Connection, you must have an e-mail address in our records. Click Here
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.
Administration Codes Prior to 2011
-- Information on the reporting of vaccine administration services for dates of service prior to 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.
Medicare Vaccine Quick Reference -- Medicare Part B Immunization Billing (Seasonal Influenza, Pneumococcal, and Hepatitis B)
(2-page PDF file; About PDFs)
(2-page PDF file; About PDFs)
AMA New Vaccine Codes
-- Information about CPT Category I Vaccine Codes from the American Medical Association.
FPM: Vaccination Management: Is Your Practice on Target?
-- An article from Family Practice Management. (September/October 2008)
Coding Resources and Assistance
Anatomy and Terminology
Associations
Billing and Claims
Use Teamwork to Manage Accounts Receivable (*PDF file)
Billing Process Checklist (*PDF file)
Using Revenue Reports (*PDF file)
Claim Form 1500 and Instructions
Financial Hardship Template (**Word file)
Compliance
Code of Conduct (**Word file)
OIG compliance plan (*PDF file)
Record Request Checklist (*PDF file)
Chart Review Self-Audit Tool from FPM
CMS Non-Covered Services
Beneficiary Notice 2011- English (*PDF file)
Beneficiary Notice 2011- Spanish (*PDF file)
Coding Contacts
Coding Tips and Courses
Code Lists
ICD-10-CM Files from National Center for Health Statistics
Diagnosis Coding
Evaluation and Management (E/M) Coding
E/M Documentation Guidelines from CMS
FPM: Documenting History in Compliance With Medicare's Guidelines
FPM: Exam Documentation: Charting Within the Guidelines
FPM: Thinking on Paper: Documenting Decision Making
FPM: Is Your Medicare Payer Playing by the Rules?
Maternity Care Coding
Coding for Intrapartum and Other Maternity Care
Medicare/Medicaid Coverage
Medicare Physician Fee Schedule Look-Up
Tobacco Cessation Counseling Benefits 2010-2011
National Coverage Determinations
Tips for 2011 CMS e-Rx Program (**Word file)
FPM: How to Code for Observation Services
Preventive Services Coding
Medicare Preventive January 2012 (*PDF file)
Quick Reference to Medicare Preventive Services (*PDF file)
Coding for Vaccines and Administration
(*PDF file. About PDFs)
(**Word file. About Downloading)
