What is the G code for Medicare vaccines?

Asked by: Norma Purdy  |  Last update: January 28, 2024
Score: 4.7/5 (45 votes)

Vaccine Administration HCPCS Code range G0008-G0010
The HCPCS codes range Vaccine Administration G0008-G0010 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.

What are the Medicare G codes for immunizations?

Description of HCPCS code G0008, G0009, G0010 & CPT code 90471, 90472, 90473, +90474
  • G0008 for the flu vaccine ; Administration of influenza virus vaccine.
  • G0009 for the pneumonia vaccine ; Administration of pneumococcal vaccine.
  • G0010 for the hepatitis B vaccine ; Administration of hepatitis B vaccine.

What is CPT code G0008 and G0009?

G0008 administration of influenza virus vaccine. G0009 administration of pneumococcal vaccine. G0010 administration of Hepatitis B vaccine.

What is the code G0010?

HCPCS Code for Administration of hepatitis B vaccine G0010.

What is CPT code G0009?

HCPCS Code for Administration of pneumococcal vaccine G0009.

Medicare Vaccinations for Medical Coders

44 related questions found

What procedure is G0008?

HCPCS Code Range G0008-G0010
  1. G0008. Administration of influenza virus vaccine.
  2. G0009. Administration of pneumococcal vaccine.
  3. G0010. Administration of hepatitis B vaccine.

What is Medicare CPT code G0008?

HCPCS Code for Administration of influenza virus vaccine G0008.

What is CPT code 90739?

90739 - CPT® Code in category: Hepatitis B Vaccine.

What is code J0690?

Injection, cefazolin sodium, 500 mg J0690 - HCPCS Codes - Codify by AAPC.

How often can you bill G0180 to Medicare?

You may bill for codes G0179 and G0180 immediately following reviewing and signing a Cert or Recert of patient's Plan of Care. However, if a patient is readmitted to Home Health with a different Plan of Care during the same month as the original Cert or Recert, the physician can only bill once during that month.

What is the Medicare G code for Hep B vaccine?

These codes are for reporting of the vaccines only. The provider bills for the administration of the vaccines using HCPCS code G0008 for the influenza virus vaccine, G0009 for the PPV vaccine, and G0010 for the hepatitis B vaccine.

Can 96372 be billed with G0008?

Medicare uses G0008 as the administration code for flu vaccinations. Procedure code 96372 is billed for injections related to the provision of chemotherapy services. The proper CPT code to use is 96401-96402.

What is Medicare G?

What does Medicare Supplement Plan G cover? Plan G includes all the benefits of Medicare Supplement Plans A, B and C with the exception of the Medicare Part B deductible. It's a good fit for people who want some coverage for hospitalization, but are willing to pay the Medicare Part B deductible on their own.

How much does Medicare pay for G0008?

For claims with dates of service on or after January 1 through December 31, the national payment rate for HCPCS codes G0008, G0009, and G0010 is $31.14. CMS has established codes and fees based on the geographically adjusted payment allowances for these codes.

What is G code 90471?

Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.

What is J8540 J code?

HCPCS code J8540 for Dexamethasone, oral, 0.25 mg as maintained by CMS falls under Chemotherapy Drugs, Oral Administration .

What is medical code J8540?

J8540 Dexamethasone Oral - CanMED: HCPCS.

What is code A4222?

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222 - HCPCS Codes - Codify by AAPC.

What is CPT G0438?

Claims for HCPCS code G0438- Annual Wellness Visit (AWV); Includes a personalized prevention plan (PPPS); initial, may not be billed more than once in a lifetime.

What is CPT code 90759?

This code represents a vaccine product administered intramuscularly to protect against the hepatitis B virus.

What is CPT code 90743?

This code represents an adolescent–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a two–dose schedule.

What is Medicare code 90750?

Providers must bill with CPT code: 90750 - Zoster (shingles) vaccine, (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection. One Medicaid unit of coverage is 0.5 mL.

Does Medicare cover code 90750?

Original Medicare doesn't pay for this immunization under Part A or Part B. That means, medical practice can't give it to Medicare patients and be reimbursed for it. “Generally, Medicare prescription drug plans (Part D) cover all commercially-available vaccines.”