Pharmacy Question for the Week of October 9, 2017

Posted on Posted in Pharmacy, Question of the Week

Question:

Which revenue codes should be used to report vaccines and their administration to Medicare?

Answer:

You can find the answer to this question in the Medicare Claims Processing Manual, Chapter 18—Preventive and Screening Services, section 10.2.2 at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c18.pdf. The information in this section applies to all providers except rural health clinics (RHCs) and federally qualified health centers (FQHCs); information for billing influenza virus, pneumococcal and hepatitis B vaccines in RHCs and FQHCs can be found in section 10.2.2.2 of that chapter.