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Billing Imminuzation for Pneumococcal, Influenza, and Hepatitis B with Medicare

By:  Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Published:  March 9th, 2015

The current diagnosis pointer for, InfluenzaPneumococcal or Hepatitis B vaccines is ICD-10-CM code Z23. Listed are tips for coding, and also the diagnosis pointers used for claims previous to 10/01/15:
 
Influenza: G0008
Pneumococcal: G0009
Hepatitis B: G0010
Both Influenza and Pneumococcal Vaccines received in same visit: G0008 with G0009
  • Procedure codes:
    • (See previous)
  • Expired diagnosis code:
    • V06.6 (effective 10/01/06 - 09/30/15)

Extra Tips:

  • Be sure to submit the NDC # on your claim form, if applicable.
  • If an E&M was provided on the same day, be sure to append modifier 25 to indicate the service was significant and separate from the physicians of the counseling and administration.

References:

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