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Last Modified: 10/22/2020 Location: FL Business: Part A, Part B

Fee schedule for administration of influenza and pneumococcal virus vaccines

The allowances for the administration of influenza and pneumococcal virus vaccines, Healthcare Common Procedure Coding System (HCPCS) codes G0008 and G0009 respectively, are not included in the Medicare Physician Fee Schedule (MPFS). However, according to the Medicare Claims Processing Manual, Chapter 18 external pdf file (Preventing and Screening Services), section, reimbursement for HCPCS code G0008 and G0009 on and after March 1, 2003, should be made based upon the rate in the MPFS associated with Current Procedural Terminology (CPT) code 90471. Therefore, to determine the allowance for administration of influenza and pneumococcal virus vaccines, go to the fee schedule lookup page, select MPFS from the drop-down menu, enter the date of service, locality, procedure code 90471, and submit.
Source: CR 7124
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