The ICD-9-CM diagnosis codes pneumonia vaccine prophylaxis is V03. 82 Pneumococcal prophylaxis. In ICD-10 (scheduled for implementation Oct. 1, 2015), all immunization encounters will have Z23 Encounter for immunization as the primary diagnosis; procedure codes will identify the type(s) of immunizations given.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
The CPT code for PNEUMOVAX 23 is 90732.
G0009Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine. G0009 administration of pneumococcal vaccine.
According to ICD-10-CM guidelines, clinicians may assign code Z28. 310, “Unvaccinated for COVID-19,” when the patient has not received a dose of any COVID-19 vaccine. Clinicians may assign code Z28.
90471: Immunization administration for percutaneous, intra-dermal, subcutaneous or intramuscular injections, initial.
PneumococcalHCPCS / CPTDescription90670Pneumococcal conjugate vaccine, 13 valent, for intramuscular use90732Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, for use in individuals 2 years or older, for subcutaneous or intramuscular use;1 more row•Oct 13, 2021
Pneumococcal 20-Valent Conjugate Vaccine, Suspension for Intramuscular Injection (Prevnar 20™) HCPCS Code 90677: Billing Guidelines.
Flu Shot CodingAdministration & Diagnosis CodesVaccine Codes & Descriptors90688Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use90689Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25mL dosage, for intramuscular use25 more rows•Sep 14, 2021
Influenza virus vaccineCPT® Code 90674 in section: Influenza virus vaccine.
How Do I Bill for Administering COVID-19 Vaccines?You must be a Medicare-enrolled provider to bill Medicare for administering COVID-19 vaccines to Medicare patients. ... You can bill on single claims for administering the COVID-19 vaccine, or submit claims on a roster bill for multiple patients at a time.More items...•
Do Medicare prescription drug plans cover Pneumovax 23? No. In general, Medicare prescription drug plans (Part D) do not cover this drug.