Wiki Medicare reimbursement for vaccines and immunizations

[jhendrix08]

Hi!

I'm having a hard time finding the Medicare fee schedule for vaccines/immunization and injections; looking for reimbursement info to be sure our fee schedule is correct. Thanks in advance for any help!

 

[CodingKing]

Vaccines can be found on the Medicare ASP pricing file. Outside of flu and Pneumonia most are not covered except for illness/injury

https://www.cms.gov/Medicare/Medica...s/McrPartBDrugAvgSalesPrice/2018ASPFiles.html

 

[jhendrix08]

Thanks so much for your help!

 

[JulieKasik]

Hi!

I'm having a hard time finding the Medicare fee schedule for vaccines/immunization and injections; looking for reimbursement info to be sure our fee schedule is correct. Thanks in advance for any help!

you can also use the Medicare fee schedule search tool

https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx

 

[CodingKing]

you can also use the Medicare fee schedule search tool

https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx

That works for services reimbursed under RBRVS, Vaccines are not priced on the physician fee schedule so they wont appear