skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
Join eNews       En Español
Text Size:
YouTube LinkedIn Email Print
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 5/31/2022 Location: FL, PR, USVI Business: Part A

Claims reprocessing for outpatient vaccination administrations for 2021 dates of service

We have identified an issue with the payment rate for HCPCS G0008, G0009 and G0010 for dates of service in 2021. Outpatient claims (Part B of A) reimbursed at the Medicare Physician Fee Schedule (MPFS) were not reimbursed at the correct rate.
Types of bill (TOBs) impacted are 12X, 13X, 22X, 23X, 34X, 72X, 75X and 83X.
The rates for 2021, for vaccine administrative services HCPCS G0008 (influenza), G0009 (pneumococcal) and G0010 (hepatitis B), have been corrected and claims are now receiving the correct reimbursement.
Claims previously processed at the incorrect rates have been reprocessed. No provider action is needed. All adjustments have been completed as of May 18, 2022.
Status/date resolved
Closed; all adjustments have been completed as of May 18, 2022.
Provider Action
Current processing issues
Here is a link to a table of current processing issues for both Part A and Part B.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.