by Jared Staheli
June 25th, 2015
Effective for services furnished on or after May 1, 1993, the influenza virus vaccine and its administration is covered when furnished in compliance with any applicable State law. Typically, this vaccine is administered once a flu season. Medicare does not require for coverage purposes that a doctor of medicine or osteopathy order the vaccine. Therefore, the beneficiary may receive the vaccine upon request without a physician’s order and without physician supervision. Since there is no yearly limit, contractors determine whether such services are reasonable and allow payment if appropriate.
See Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 220.127.116.11 for additional coverage requirements for influenza virus vaccine.