Medicaid, Medicare to Reimburse for H1N1

Medicaid will reimburse physicians for administering the intranasal or injected H1N1 vaccine, the Texas Medicaid & Healthcare Partnership says in a notice posted on its Web site. Medicare will not pay for the vaccine itself because it is free.

When billing with procedure code 90663 for intranasal or injection of H1N1 vaccine, providers must use injection administration procedure code 90465, 90466, 90471, or 90472.

Medicare says it will reimburse physicians  [ PDF ] if they use codes  G9141 - Influenza A (H1N1) immunization administration (includes the physician counseling of the patient/family) and G9142 - Influenza A (H1N1) vaccine, any route of administration.

 

 

Action , Oct. 16, 2009


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